Organization
GREGORY ALAN. BARTLOW, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALAN BARTLOW M.D., INC. (OWNER)
(949) 718-1222
Entity
Organization
Contact information
Practice address
1441 AVOCADO AVE, 806, NEWPORT BEACH, CA 92660-7721
(949) 718-1222
(949) 718-1220
Mailing address
1845 ANAHEIM AVE, 4C, COSTA MESA, CA 92627-5028
(949) 874-6540
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A24898
CA
Other
Enumeration date
06/07/2008
Last updated
02/06/2017
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