1699708131 Gordon Bradley Greaves, PA
Physician Assistant
Active
Basic Information
- Full Name
- Gordon Bradley Greaves, PA
- Gender
- Male
- Enumeration Date
- July 8, 2006
- Last Update
- April 14, 2025
Practice Location
- Address
- 15821 ALLENDALE RD
WILDER, ID 836765864 - Phone
- (208) 278-2863
- Fax
- (208) 621-3128
Mailing Address
- Address
- 15821 ALLENDALE RD
WILDER, ID 836765864 - Phone
- (208) 278-2863
- Fax
- (208) 621-3128
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Physician Assistant | 363A00000X | Physician Assistant | 16369 | CA | No |
| Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 363LP0808X | Nurse Practitioner | PA615 | ID | No |
| Physician Assistant | 363A00000X | Physician Assistant | PA615 | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807537400 | 05 | ID | N/A |
| 16369 | 01 | CA | PA LICENSE |
| PA615 | 01 | ID | IDAHO BOARD OF MEDICINE |
Frequently Asked Questions
What is Gordon Bradley Greaves, PA's NPI number?
Gordon Bradley Greaves, PA's NPI number is 1699708131.
Which doctor has NPI number 1699708131?
The doctor with NPI number 1699708131 is Gordon Bradley Greaves, PA.
What is Gordon Bradley Greaves, PA's practice address?
Gordon Bradley Greaves, PA's practice address is 15821 ALLENDALE RD, WILDER, ID, 836765864.
Which doctor practices at 15821 ALLENDALE RD, WILDER, ID, 836765864?
Gordon Bradley Greaves, PA practices at 15821 ALLENDALE RD, WILDER, ID, 836765864.
What is Gordon Bradley Greaves, PA's phone number?
Gordon Bradley Greaves, PA's phone number is (208) 278-2863.
Who is (208) 278-2863?
(208) 278-2863 is the phone number for Gordon Bradley Greaves, PA.
What is Gordon Bradley Greaves, PA's specialty?
Gordon Bradley Greaves, PA's specialty is Physician Assistant.
What type of doctor is Gordon Bradley Greaves, PA?
Gordon Bradley Greaves, PA is a Physician Assistant.
Is Gordon Bradley Greaves, PA a Physician Assistant?
Yes, Gordon Bradley Greaves, PA is a Physician Assistant.
Is Gordon Bradley Greaves, PA still practicing?
Yes, Gordon Bradley Greaves, PA is currently practicing.
Is Gordon Bradley Greaves, PA accepting new patients?
Gordon Bradley Greaves, PA may be accepting new patients. Please call their office at (208) 278-2863 to inquire about availability.
Is NPI 1699708131 still active?
Yes, NPI 1699708131 is currently active.
Where does Gordon Bradley Greaves, PA practice?
Gordon Bradley Greaves, PA practices in WILDER, ID.
Is Gordon Bradley Greaves, PA a male or female doctor?
Gordon Bradley Greaves, PA is a male doctor.