Matthew Gregson, PA-C

NPI #1710358007 in Pocatello, Idaho

Provider Information

NPI Number: 1710358007
Entity Type: Individual
Name: Matthew Gregson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 12, 2015
Last Updated: Dec 22, 2015

Practice Location

Address: 1151 HOSPITAL WAY BLDG A
City: Pocatello
State: Idaho
ZIP Code: 83201-5091
Phone: (208) 232-6616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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