Individual
DR. GREGGORY RUSSELL DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 ALESSANDRO PL STE 330, PASADENA, CA 91105-3187
(626) 583-8911
(626) 583-8894
Mailing address
50 ALESSANDRO PL STE 330, PASADENA, CA 91105-3187
(626) 583-8911
(626) 583-8894
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G44446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G44446
STATE LICENCE
CA
Enumeration date
07/28/2006
Last updated
03/07/2023
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