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Individual
GREGORY ALLEN CARL
Active
Individual
GREGORY ALLEN CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00022219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000660
—
WA
Enumeration date
08/31/2006
Last updated
07/08/2007
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