Individual
DR. GREG ANTHONY VIGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 MABLE AVE, MODESTO, CA 95355-0001
(209) 857-3400
(805) 564-3332
Mailing address
PO BOX 50706, SANTA BARBARA, CA 93150-0706
(805) 963-3757
(805) 564-3332
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01075520A
IN
208100000X
Physical Medicine & Rehabilitation Physician
1469
SD
208100000X
Physical Medicine & Rehabilitation Physician
35141611
OH
208100000X
Physical Medicine & Rehabilitation Physician
85785
MT
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C54741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201299460
—
IN
Enumeration date
01/30/2006
Last updated
03/25/2022
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