Individual
GAYLE L GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15801 E DON CARLOS DR, PRESCOTT VALLEY, AZ 86315-4109
(602) 335-2000
(602) 476-2077
Mailing address
15801 E DON CARLOS DR, PO BOX 26485, PRESCOTT VALLEY, AZ 86315-4109
(602) 335-2000
(602) 476-2077
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
30440
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
30440
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
M-11900
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707705
—
AZ
Enumeration date
10/26/2005
Last updated
06/23/2014
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