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Individual

MR. GREGORY A. EHRLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(615) 355-3451
Mailing address
PO BOX 2429, SMYRNA, TN 37167-1719
(615) 355-3451

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA760
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2402248
NV
Enumeration date
09/16/2006
Last updated
09/04/2019
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