Devore, Greggory Russell

Devore, Greggory Russell is an individual health care provider with primary practice located at 50 Alessandro Pl Ste 330 , Pasadena CA 91105-3187. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Devore, Greggory Russell can be contacted via phone (626) 583-8911.

Contact Information

Primary practice address
50 Alessandro Pl Ste 330 Pasadena CA 91105-3187
Phone: (626) 583-8911
Fax: (626) 583-8894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X G44446 California

Profile Details

NPI number 1851305312
LBN Legal business name Devore, Greggory Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851305312 NPPES
California Other G44446 STATE LICENCE

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