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Dr. Gary Ned Gregerson, MD
Specialist in Nampa, Idaho
NPI 1801834866

Gary Ned Gregerson is a Specialist based in Nampa, ID. Gary Ned Gregerson practices in Nampa, ID and has the professional credentials of MD. The NPI Number for Gary Ned Gregerson is 1801834866 and holds a License No. M6312 (Idaho).

The current practice location address for Gary Ned Gregerson is 1611 12Th Ave Rd, Nampa, ID and can be reached out via phone at 208-468-9400 and via fax at 208-468-9447.

Location: 1611 12Th Ave Rd, Nampa, ID, 83686-7715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801834866
Provider Name
Gary Ned Gregerson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1611 12Th Ave Rd, Nampa, ID, 83686-7715
Phone Number
208-468-9400
Fax Number
208-468-9447
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002364200 05 ID
institution
Provider Business Practice Location Address Details
Address
1611 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-7715
Phone Number
208-468-9400
Fax Number
208-468-9447
person
Provider Business Mailing Address Details
Address
1611 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-7715
Phone Number
208-468-9400
Fax Number
208-468-9447
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
M6312 (Idaho)
Definition
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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