Individual
GREGORY PHILLIP IMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-8200
(858) 616-8258
Mailing address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-8200
(858) 616-8258
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G54636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G546360
—
CA
Enumeration date
08/08/2006
Last updated
06/19/2013
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