Organization
ACTIVE ANKLE & FOOT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B GREGORY DPM (OWNER)
(603) 543-3668
Entity
Organization
Contact information
Practice address
251 ELM ST, SUITE #3, CLAREMONT, NH 03743-4921
(603) 543-3668
(603) 543-9552
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(603) 673-9411
(603) 673-9899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610830200
DEPT OF LABOR
—
01
—
ACTI00068638
VERMONT BCBS
—
Enumeration date
08/11/2006
Last updated
07/30/2009
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