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General NPI Number Information
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NPI Number | 1669475430
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Entity Type | Individual
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Provider Name | GREGORY SCOTT SPOWART M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 23845 HOLMAN HWY STE 220
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City | MONTEREY
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State | CA
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Zip | 93940-5900
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Country | US
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Telephone | 831-644-0225
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Fax |
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Provider Business Mailing Address
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Address Line | 2350 W EL CAMINO REAL FL 2
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-6201
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Country | US
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Telephone | 650-934-3546
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Fax | 650-691-6193
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | G49645
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License Number State | CA
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