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Individual
GREGG A GOBER
Active
Individual
GREGG A GOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13979
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114112
—
MS
01
—
5J806
MEDICARE AR
AR
01
—
P00316067
RR MEDICARE
—
Enumeration date
08/12/2006
Last updated
09/26/2007
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