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Individual

GREGORY ALLEN CARL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 N 14TH AVE, STE 220, PASCO, WA 99301
(509) 545-4800
(509) 545-4861
Mailing address
1200 N 14TH AVE, STE 220, PASCO, WA 99301
(509) 545-4800
(509) 545-4861

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00022219
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000660
WA
Enumeration date
08/31/2006
Last updated
07/08/2007
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