Devore, Greggory Russell
Devore, Greggory Russell is an individual health care provider with primary practice located at 50 Alessandro Pl Ste 330 , Pasadena CA 91105-3187. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Devore, Greggory Russell can be contacted via phone (626) 583-8911.Contact Information
Primary practice address
50 Alessandro Pl Ste 330
Pasadena CA 91105-3187
Phone: (626) 583-8911
Fax: (626) 583-8894
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | G44446 | California |
Profile Details
NPI number | 1851305312 |
---|---|
LBN Legal business name | Devore, Greggory Russell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851305312 | NPPES |
California | Other | G44446 | STATE LICENCE |
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