Individual
DR. MICHAEL THOMAS GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1326
(208) 422-1319
Mailing address
5631 N QUAIL SUMMIT PL, BOISE, ID 83703-3868
(208) 433-1919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K7436
TX
207R00000X
Internal Medicine Physician
Primary
M-14668
ID
Other
Enumeration date
09/02/2006
Last updated
03/21/2022
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