DR. Gregory G Khurtsidze, M.D.

NPI #1396721114 in Longview, Washington

Provider Information

NPI Number: 1396721114
Entity Type: Individual
Name: DR. Gregory G Khurtsidze, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Dec 22, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1706 WASHINGTON WAY
City: Longview
State: Washington
ZIP Code: 98632-2952
Phone: (360) 423-9580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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