Smith, Greg D

Smith, Greg D is an individual health care provider with primary practice located at 555 Black Oak Dr , Medford OR 97504. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Smith, Greg D can be contacted via phone (541) 789-8176.

Contact Information

Primary practice address
555 Black Oak Dr Medford OR 97504
Phone: (541) 789-8176
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 7702-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201902885NP-PP Oregon

Profile Details

NPI number 1194255950
LBN Legal business name Smith, Greg D
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Oct 13th, 2021 - about 3 years ago

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.

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