Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 5101019887 | MI |
Y | 208600000X | Surgeon | 5101019887 | MI |
N | 208200000X | Surgeon | 5101019887 | MI |
N | 208600000X | Surgeon | 5101019887 | MI |
N | 2086S0122X | Plastic and Reconstructive Surgery | 11725359-1204 | UT |
NPI | 1114286051 |
---|---|
Provider Name | Gregory W. Hobson |
First Address | Salt Lake City, UT 84132-0002 |
Second Address | Salt Lake City, UT 84132-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2012 |
Last Update Date | 04/11/2021 |