Individual
DR. GREGORY J. WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 W HUNTINGTON DRIVE, SUITE 407, ARCADIA, CA 91007-1504
(626) 821-3440
(626) 821-0709
Mailing address
301 W HUNTINGTON DR, SUITE 407, ARCADIA, CA 91007-1504
(626) 821-3440
(626) 821-0709
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G27800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G278000
—
CA
Enumeration date
07/18/2006
Last updated
04/16/2008
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