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Individual

DR. GREGORY A OBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
604 WILLIAMS BLVD, SUITE A, RICHLAND, WA 99354-3207
(509) 946-0631
(509) 946-0632
Mailing address
604 WILLIAMS BLVD, SUITE A, RICHLAND, WA 99354-3207
(509) 946-0631
(509) 946-0632

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00000995
WA
111NI0013X
Independent Medical Examiner Chiropractor
CH00000995
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0227634
LABOR & INDUSTRIES
WA
Enumeration date
04/03/2007
Last updated
02/21/2008
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