Individual
GREGORY M. ORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9212 TESORAS DR, SUITE 301, LAS VEGAS, NV 89144-1569
(999) 999-9999
Mailing address
9212 TESORAS DR, SUITE 301, LAS VEGAS, NV 89144-1569
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
14201
NV
2086S0120X
Pediatric Surgery Physician
G81845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G818450
—
CA
Enumeration date
02/02/2007
Last updated
07/09/2012
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