Individual
BRYCE GREGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MS 11 AG062 2401 SOUTH 31ST ST, TEMPLE, TX 76508-0001
(707) 362-6080
Mailing address
MS 11 AG062 2401 SOUTH 31ST ST, TEMPLE, TX 76508-0001
(707) 362-6080
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q5415
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/08/2012
Last updated
12/04/2015
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