Whalio Doctors

NPI 1104825892

Gregory S Harrison, MD

Practitioner Neurological Surgery Physician Pocatello, ID

Practice location

Address
777 Hospital Way Suite 115, Pocatello, ID 83201-5175
Phone
(208) 239-2260
Fax
(208) 239-3767
Mailing address
PO Box 4168, Pocatello, ID 83205-4168

Registered specialties (2)

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence M11193 (ID)
Neurological Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 44711 (MN)

Registry record

NPI
1104825892
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jul 2005
Record last updated
11 Feb 2013

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.