Individual
MR. GREGORY L JERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1418 E MAIN ST STE 210, SANTA MARIA, CA 93454-4836
(805) 928-3678
(805) 928-6408
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8030
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
54308
CA
Other
Enumeration date
08/30/2006
Last updated
06/29/2021
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