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Individual
GREGORY D CRENSHAW
Active
Individual
GREGORY D CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
18022
MS
2086S0129X
Vascular Surgery Physician
Primary
MD200466
LA
390200000X
Student in an Organized Health Care Education/Training Program
200466
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1090735
—
LA
05
—
7906270
—
MS
Enumeration date
07/27/2007
Last updated
05/18/2022
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