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Individual
GREGORY K ALBAUGH
Active
Individual
GREGORY K ALBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
20A8760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77-0079544
BLUE CROSS
CA
05
—
GR0098310
—
CA
01
—
P00224835
RR MEDICARE
CA
01
—
ZZZ08582Z
BLUE SHIELD
CA
Enumeration date
06/05/2006
Last updated
02/10/2016
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