Provider Demographics
NPI:1780038471
Name:PAIS, GREGORY (ND)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:PAIS
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 ASPEN MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:CO
Mailing Address - Zip Code:80466-9634
Mailing Address - Country:US
Mailing Address - Phone:570-974-9294
Mailing Address - Fax:
Practice Address - Street 1:206 ASPEN MEADOWS RD
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:CO
Practice Address - Zip Code:80466-9634
Practice Address - Country:US
Practice Address - Phone:570-974-9294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO92175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath