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Individual

GREGORY EDMUND HYDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
110 E 13TH ST, RUSHVILLE, IN 46173-2126
(765) 932-7063
(765) 932-7065
Mailing address
1300 N MAIN ST, RUSHVILLE, IN 46173-1198
(765) 932-4111
(765) 932-7505

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01082170A
IN
207Y00000X
Otolaryngology Physician
M0115
TX
207YS0012X
Sleep Medicine (Otolaryngology) Physician
01082170A
IN
207YS0012X
Sleep Medicine (Otolaryngology) Physician
M0115
TX
207YX0602X
Otolaryngic Allergy Physician
01082170A
IN
207YX0602X
Otolaryngic Allergy Physician
M0115
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182063102
TX
01
P00234692
RAILROAD MEDICARE
Enumeration date
12/19/2005
Last updated
02/17/2025
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