Individual
MARCUS R GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 N. BUTLER, STE. 101, FARMINGTON, NM 87401
(505) 326-0064
(505) 327-3995
Mailing address
3501 N. BUTLER, STE. 101, FARMINGTON, NM 87401
(505) 326-0064
(505) 327-3995
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0520
NM
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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