Dr. Gregory S Harrison
Neurosurgeon
777 Hospital Way Suite 115
Pocatello
, Idaho 83201-5175
Dr. Gregory S Harrison
Neurosurgeon
777 Hospital Way Suite 115
Pocatello
, Idaho 83201-5175
(208) 239-3754
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Gregory S Harrison
- Po Box 4168
- Pocatello, ID
- Zip : 83205-4168
- Fax : (208) 239-3754
- Phone : (208) 239-2055
Second Address
- Dr. Gregory S Harrison
- 777 Hospital Way Suite 115
- Pocatello, ID
- Zip : 83201-5175
- Fax : (208) 239-3767
- Phone : (208) 239-2260
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207T00000X | Neurosurgeon | 44711 | MN |
| Y | 207T00000X | Neurosurgeon | M11193 | ID |
National Provider Identifier
| NPI | 1104825892 |
|---|---|
| Provider Name | Dr. Gregory S Harrison |
| First Address | Pocatello, ID 83205-4168 |
| Second Address | Pocatello, ID 83201-5175 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2005 |
| Last Update Date | 11/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H57419 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.