Individual
DR. GREGORY IDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E DUARTE ROAD, DUARTE, CA 91010-3012
(626) 256-4673
(626) 408-3911
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A102184
CA
207RG0100X
Gastroenterology Physician
Primary
A102184
CA
Other
Enumeration date
01/17/2008
Last updated
11/04/2020
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