Individual
MATTHEW GREGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1151 HOSPITAL WAY BLDG A, POCATELLO, ID 83201-5091
(208) 232-6616
(208) 232-6618
Mailing address
1151 HOSPITAL WAY, BLDG A, POCATELLO, ID 83201-5091
(208) 232-6616
(208) 232-6618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
12/22/2015
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