Organization
MAURICE D GREGORY JR M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE DUBOIS GREGORY JR. M.D. (PRESIDENT)
(702) 822-1356
Entity
Organization
Contact information
Practice address
2020 GOLDRING AVE, SUITE 503, LAS VEGAS, NV 89106-4000
(702) 822-1356
(702) 877-1706
Mailing address
3395 S JONES BLVD, SUITE# 132, LAS VEGAS, NV 89146-6729
(702) 822-1356
(702) 877-1706
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
4894
NV
208D00000X
General Practice Physician
4894
NV
208VP0000X
Pain Medicine Physician
4894
NV
Other
Enumeration date
02/18/2011
Last updated
10/15/2014
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