Doctor Name: | GREGG S DENSMORE |
NPI Number: | 1184624975 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 700 Sunset Dr Ste F La Grande, OR - 978501260 |
Business Phone Number: | 5419638578 |
Business Fax Number: | 5419638932 |
Mailing Address: | 700 Sunset Dr, Ste F LA GRANDE |
State: | OR |
Postal Code: | 978501260 |
Phone Number: | 5419638578 |
Fax Number: | 5419638932 |
NPI Enumeration Date: | 07/22/2005 |
NPI Last Update Date: | 01/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |