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Individual

GREGORY D DABOV

Active
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Individual

GREGORY D DABOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15741
MS
207X00000X
Orthopaedic Surgery Physician
34061
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00122613
MS
05
140940001
AR
05
3851421
TN
Enumeration date
09/27/2005
Last updated
05/01/2018
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