Individual
VICTOR H GREGORY
Active
Individual
VICTOR H GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS4069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001907
AETNA HMO
—
05
—
253664100
—
FL
01
—
4313421
AETNA PPO
—
01
—
57595
BCBS
—
01
—
OS4069
FLORIDA LICENSE
FL
Enumeration date
06/03/2006
Last updated
05/28/2008
Update your record
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