| Gregory L Dales, | |
|
6065 Highway 193, Georgetown, CA 95634 | |
| (530) 333-2555 | |
| (530) 333-2832 |
| Full Name | Gregory L Dales |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 6065 Highway 193, Georgetown, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982689626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN369163 (California) | Secondary |
| 363L00000X | Nurse Practitioner | NP6962 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory L Dales, Po Box 1807, Georgetown, CA 95634-1807 Ph: (530) 333-2555 | Gregory L Dales, 6065 Highway 193, Georgetown, CA 95634 Ph: (530) 333-2555 |
Janis Leigh Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6065 State Highway 193, Georgetown, CA 95634 Phone: 530-333-2548 Fax: 530-748-0340 | |
Ms. Debra Boardman-cheevers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6065 Highway 193, Georgetown, CA 95634 Phone: 530-333-2548 Fax: 530-333-2832 | |
Julie Crow-petersen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6065 State Highway 193, Georgetown, CA 95634 Phone: 530-333-2548 |