NPI 1083983647

Michael J. Gregson, M.D., P.A.

Organisation Specialist Pocatello, ID

Practice location

Address: 1950 E Clark St Suite C, Pocatello, ID 83201-3314
Phone: (208) 232-8300
Fax: (208) 232-8303
Mailing address: PO Box 4907, Pocatello, ID 83205-4907

Authorised official

Name: Michael J. Gregson
Title: Physician, Owner
Phone: (208) 232-8300

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence M3289 (ID)

Other Specialist providers in Idaho →

Registry record

NPI: 1083983647
Entity type: Organization
NPI issued: 27 Dec 2011
Record last updated: 27 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.