Individual
DR. GREGG L. PERSONETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
929 SW BAY ST, NEWPORT, OR 97365-4862
(541) 265-9291
(541) 265-7735
Mailing address
929 SW BAY ST, NEWPORT, OR 97365-4862
(541) 265-9291
(541) 265-7735
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD10797
OR
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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