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Individual
MR. GREGORY S FUNK
Active
Individual
MR. GREGORY S FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D058
AL
208D00000X
General Practice Physician
Primary
DO58
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511 22924
BCBS
AL
Enumeration date
10/10/2005
Last updated
09/11/2012
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