Landry, Gregory James

Landry, Gregory James is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 350 , Coeur D Alene ID 83814-4487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Landry, Gregory James can be contacted via phone (208) 625-5222.

Contact Information

Primary practice address
700 W Ironwood Dr Ste 350 Coeur D Alene ID 83814-4487
Phone: (208) 625-5222
Fax: (208) 625-5223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD17953 Oregon
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X M-16279 Idaho

Profile Details

NPI number 1700891223
LBN Legal business name Landry, Gregory James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Apr 26th, 2024 - about 2 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 1700891223 NPPES
Oregon MEDICAID 134280

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