| Maurice D Gregory Jr M D A Professional Corporation | |
|
2020 Goldring Ave Suite 503 Las Vegas NV 89106-4000 | |
| (702) 822-1356 | |
| (702) 877-1706 |
| Full Name | Maurice D Gregory Jr M D A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 2020 Goldring Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Maurice Dubois Gregory (PRESIDENT) |
| Authorized Official Contact | 7028221356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice D Gregory Jr M D A Professional Corporation 3395 S Jones Blvd Suite# 132 Las Vegas NV 89146-6729 Ph: (702) 822-1356 | Maurice D Gregory Jr M D A Professional Corporation 2020 Goldring Ave Suite 503 Las Vegas NV 89106-4000 Ph: (702) 822-1356 |
| NPI Number | 1831496306 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 10/15/2014 |
| Medicare PECOS PAC ID | 4385829589 |
|---|---|
| Medicare Enrollment ID | O20110504000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831496306 | NPI | - | NPPES |
| Provider Name | Maurice D Gregory |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1548278617 PECOS PAC ID: 5496882888 Enrollment ID: I20100415000768 |
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