Organization
GREGORY J WITHERS MD INC A MEDICAL CORP
Active
Organization
GREGORY J WITHERS MD INC A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J. WITHERS M.D. (PRESIDENT)
(626) 821-3440
Entity
Organization
Contact information
Practice address
301 W HUNTINGTON DR, SUITE 407, ARCADIA, CA 91007-3462
(626) 821-3440
(626) 821-0709
Mailing address
301 W HUNTINGTON DR, SUITE 407, ARCADIA, CA 91007-3462
(626) 821-3440
(626) 821-0709
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G27800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G278000
—
CA
Enumeration date
01/18/2007
Last updated
12/08/2010
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