| Doctor Name: | MR. GREGORY L JERKINS |
| NPI Number: | 1699885137 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 17702 |
| Business Practice Address: | 2801 Santa Maria Way Santa Maria, CA - 934552118 |
| Business Phone Number: | 8059319200 |
| Business Fax Number: | 8059319207 |
| Mailing Address: | 2050 S Blosser Rd, SANTA MARIA |
| State: | CA |
| Postal Code: | 934587310 |
| Phone Number: | 8053618028 |
| Fax Number: | 8053618097 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 17702 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| 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. |