Doctor Name: | DR. GREGORY SPENCER MYNKO |
NPI Number: | 1225046568 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G 74144 |
Business Practice Address: | 32475 Oak Knoll Ln Lake Elsinore, CA - 925308324 |
Business Phone Number: | 9516095028 |
Business Fax Number: | 9516784287 |
Mailing Address: | 32475 Oak Knoll Ln, LAKE ELSINORE |
State: | CA |
Postal Code: | 925308324 |
Phone Number: | 9516095028 |
Fax Number: | 9516784287 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 04/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207LP2900X |
License Number: | G 74144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Anesthesiology |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |