Individual
DR. GREG ALLEN PHILSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
830 W ABRIENDO AVE, PUEBLO, CO 81004-1500
(719) 545-6421
(719) 545-6422
Mailing address
830 W ABRIENDO AVE, PUEBLO, CO 81004-1500
(719) 545-6421
(719) 545-6422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5932
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5932
STATE LICENSE NUMBER
CO
Enumeration date
02/07/2006
Last updated
07/08/2007
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