Organization · Type 2 NPI

Michael J. Gregson, M.d., P.a.

Specialist · Pocatello, ID

NPI number 1083983647 Active

Practice location

1950 E Clark St, Suite C
Pocatello, ID 83201-3314

Fax (208) 232-8303

Mailing address

PO Box 4907
Pocatello, ID 83205-4907

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XM3289 (ID)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083983647

Michael J. Gregson, M.d., P.a.'s National Provider Identifier is 1083983647, issued on Dec 27, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pocatello, ID. The record was last updated on Dec 27, 2011.