NPI 1902179914

Gary Gregerson MD PA

Organisation Obstetrics & Gynecology Physician Nampa, ID

Practice location

Address: 1611 12th Ave Road Suite a, Nampa, ID 83686-6182
Phone: (208) 468-9400
Fax: (208) 468-9447

Authorised official

Name: Gary N Gregerson
Title: Sole Owner
Phone: (208) 468-9400

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence M-6312 (ID)

Other Obstetrics & Gynecology providers in Idaho →

Registry record

NPI: 1902179914
Entity type: Organization
NPI issued: 22 Feb 2012
Record last updated: 15 Jan 2014

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.