Search › Idaho › 207KA0200X
Gregory Wickern, M.D
NPI 1972578672 · on the registry since 2006
Practice
- Address
- 1502 Locust St N Ste 600
Twin Falls, ID 83301 - Phone
- (208) 734-6091
- Fax
- (208) 734-4654
- Organisation at this address
- Asthma & Allergy Of Idaho
Clark Oral & Facial Surgery
Recover Physical Therapy, Llc
Asthma & Allergy Of Idaho Pllc
Recover Physical Therapy, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 207KA0200X
207KA0200X
- Also registered as
- 207K00000X
207K00000X - Licence states on file
- NV, UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho