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Gregory Nicholas, MPT
NPI 1215046966 · on the registry since 2006
Practice
- Address
- 552 Old Smizer Mill Rd
Fenton, MO 63026 - Phone
- (636) 349-8060
- Fax
- (636) 349-9171
- Organisation at this address
- Jessica C. Nieva Dds P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-30
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 Missouri