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Jack Gregory, MD
General Practice Physician in Porterville, California
NPI 1528169208

Jack Gregory is a General Practice Physician based in Porterville, CA. Jack Gregory practices in Porterville, CA and has the professional credentials of MD. The NPI Number for Jack Gregory is 1528169208 and holds a License No. G7754 (California).

The current practice location address for Jack Gregory is 590 W Putnam Ave, Porterville, CA and can be reached out via phone at 559-781-3700 and via fax at 559-781-4131.

Location: 590 W Putnam Ave, Porterville, CA, 93257-3257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528169208
Provider Name
Jack Gregory
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
590 W Putnam Ave, Porterville, CA, 93257-3257
Phone Number
559-781-3700
Fax Number
559-781-4131
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G7754 05 CA
institution
Provider Business Practice Location Address Details
Address
590 W Putnam Ave
City
Porterville
State
California
Zip
93257-3257
Phone Number
559-781-3700
Fax Number
559-781-4131
person
Provider Business Mailing Address Details
Address
590 W Putnam Ave
City
Porterville
State
California
Zip
93257-3257
Phone Number
559-781-3700
Fax Number
559-781-4131
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G7754 (California)
Definition
Definition to come...
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