Individual
GREGORY T VANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A32565
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A32565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A325650
—
CA
01
—
HW8412
GROUP PTAN
CA
01
—
HW8412A
PTAN/LEGACY PACIFIC HOSP
CA
01
—
HW8412B
PTAN/LEGACY COMMUNITY HOSP
CA
01
—
HW881
ST MARYS PTAN
CA
Enumeration date
06/05/2006
Last updated
08/20/2018
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