Marcus R Gregory

NPI 1679775217 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1679775217
Gender Male
Enumeration Date 06/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3501 N. BUTLER
STE. 101
FARMINGTON NM, 87401, US
Phone (505) 326-0064
Fax (505) 327-3995
Business Location
3501 N. BUTLER
STE. 101
FARMINGTON NM, 87401, US
Phone (505) 326-0064
Fax (505) 327-3995
Toxanomy
Taxonomy Code 225200000X
License State New Mexico
License Number A-0520
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According to our database, Marcus R Gregory NPI is 1679775217, taxonomy code is 225200000X and license number is A-0520, license state is located at New Mexico. Marcus R Gregory physically located at 3501 N. Butler, Farmington NM, 87401. NPI Number Marcus R Gregory has the Individual type.

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1679775217 NPI number is provided on an as is basis without warranty of any kind. 1679775217 is maintained by the National Plan & Provider Enumeration System. The contents of Marcus R Gregory are for informational purposes only.