Individual
GREGORY MCGAURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 565-1048
Mailing address
4755 OGLETOWN STANTON RD STE 2670, NEWARK, DE 19718-2200
(302) 733-2438
(302) 733-4832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011503
DE
Other
Enumeration date
09/26/2018
Last updated
02/04/2021
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