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1790748507
GEORGE GREGORY SUPER
NEWPORT BEACH, CA
NPI
1790748507
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Other Name
GREG SUPER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA C32629)
Enumeration Date
2006-04-11
Last Update Date
2012-09-20
Business Address
GEORGE GREGORY SUPER M.D.
ONE HOAG DR ECU DEPT
NEWPORT BEACH, CA 92663-4162
Phone number: 949-764-5689
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Mailing Address
GEORGE GREGORY SUPER M.D.
PO BOX 720300
OKLAHOMA CITY, OK 73172-0300
Phone number: 800-749-4560
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