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NPI Code Detail

MEDICARE: DR. DAVID L GREGORY MD

MEDICARE: DR. DAVID L GREGORY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician01024487AIN

General Provider Information

NPI Number : 1609814581
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID L GREGORY MD
Provider Business Mailing Address
First Line : 3530 DEERFIELD PL
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-1211
Country : US
Telephone Number : 812-334-8958
Fax Number :
Provider Business Practice Location Address
First Line : 2400 17TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5351
Country : US
Telephone Number : 812-334-8958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID L GREGORY MD” Practice Location

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