Doctor Name: | DR. RONALD V GREGUSH |
NPI Number: | 1275625584 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A93467 |
Business Practice Address: | 12911 120th Ave. Ne Suite H-210 Kirkland, WA - 980343027 |
Business Phone Number: | 4258234000 |
Business Fax Number: | 4258213550 |
Mailing Address: | 805 Madison Street, Suite 901 SEATTLE |
State: | WA |
Postal Code: | 981041172 |
Phone Number: | 2062648100 |
Fax Number: | 2062648689 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A93467 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |