Individual
MR. GREGORY ROBERT PAULING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
738 BANCROFT RD, WALNUT CREEK, CA 94598-1531
(916) 203-6621
Mailing address
2000 LOS OLIVOS RD, SANTA ROSA, CA 95404-2018
(612) 327-3725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA54185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
ALL NUMBERS ARE PENDING
MN
Enumeration date
09/10/2007
Last updated
07/21/2022
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