Individual
AMY M GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
105 W 8TH, SPOKANE, WA 99204-2304
(509) 474-6650
(509) 474-6646
Mailing address
105 W 8TH AVE, SPOKANE, WA 99204
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10005074
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8469231
—
WA
Enumeration date
12/28/2005
Last updated
04/15/2010
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