Scott Greg Gvesrude

NPI 1407028723 - Registered Nurse - 163WP0808X

NPI Details
NPI 1407028723
Gender Male
Enumeration Date 03/26/2008
Last Updated 03/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
400 N PEPPER AVE
COLTON CA, 92324-1801, US
Phone (909) 580-3144
Fax
Business Location
400 N PEPPER AVE
COLTON CA, 92324-1801, US
Phone (909) 580-3144
Fax
Toxanomy
Taxonomy Code 163WP0808X
License State California
License Number 659892
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According to our database, Scott Greg Gvesrude NPI is 1407028723, taxonomy code is 163WP0808X and license number is 659892, license state is located at California. Scott Greg Gvesrude physically located at 400 N Pepper Ave, Colton CA, 92324-1801. NPI Number Scott Greg Gvesrude has the Individual type.

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1407028723 NPI number is provided on an as is basis without warranty of any kind. 1407028723 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Greg Gvesrude are for informational purposes only.