Individual
ANITA KAY GREGORY
Active
Individual
ANITA KAY GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
G74192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G741920
BLUE SHIELD
CA
Enumeration date
03/30/2006
Last updated
02/03/2022
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