Individual
GREGORY ALAN DICAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
418 W MAIN, BREWSTER, WA 98813
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD61181093
WA
207Q00000X
Family Medicine Physician
Primary
MD61181093
WA
Other
Enumeration date
04/23/2017
Last updated
09/01/2021
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