Gary Gregerson, M.d., P.a.

NPI #1255762506 in Nampa, Idaho

Provider Information

NPI Number
1255762506
Entity Type
Organization
Organization Name
Gary Gregerson, M.d., P.a.
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Dec 11, 2013
Last Updated
Aug 24, 2015

Practice Location

Address
1611 12TH AVE RD
Address 2
SUITE A
City
Nampa
State
Idaho
ZIP Code
83686-7715
Phone
(208) 468-9400

Authorized Official

Name
GARY NED GREGERSON
Title
PRESIDENT
Phone
(208) 468-9400

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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