Michael J. Gregson, M.d., P.a.

NPI #1083983647 in Pocatello, Idaho

Provider Information

NPI Number: 1083983647
Entity Type: Organization
Organization Name: Michael J. Gregson, M.d., P.a.
Primary Specialty: Specialist
Enumeration Date: Dec 27, 2011
Last Updated: Dec 27, 2011

Practice Location

Address: 1950 E CLARK ST
Address 2: SUITE C
City: Pocatello
State: Idaho
ZIP Code: 83201-3314
Phone: (208) 232-8300

Authorized Official

Name: MICHAEL J. GREGSON, M.D., P.A.
Title: PHYSICIAN, OWNER
Phone: (208) 232-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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