Individual
GREGORY ALLEN WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
(831) 462-7710
Mailing address
PO BOX 1190, CAPITOLA, CA 95010-1190
(831) 336-2231
(831) 336-1131
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A61740
CA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
A61740
CA
Other
Enumeration date
06/08/2006
Last updated
12/10/2009
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