| Organization Name: | MAURICE D GREGORY JR M D A PROFESSIONAL CORPORATION |
| NPI Number: | 1831496306 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAURICE DUBOIS GREGORY (PRESIDENT) |
| Mailing Address: | 2020 Goldring Ave Suite 503 Las Vegas |
| State: | NV US |
| Postal Code: | 891064000 |
| Phone Number: | 7028221356 |
| Fax Number: | 7028771706 |
| NPI Enumeration Date: | 02/18/2011 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4894 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |