Individual
GREGORY D. CARBONELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 713-6567
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 713-6567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.016581
OH
Other
Enumeration date
04/15/2020
Last updated
08/01/2023
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