Individual
GREGG ARTHUR DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 ADAMS ST SE, SUITE 300, HUNTSVILLE, AL 35801-3730
(256) 533-7420
(256) 536-4109
Mailing address
910 ADAMS ST SE, SUITE 300, HUNTSVILLE, AL 35801-3730
(256) 533-7420
(256) 536-4109
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8858
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51010504
BLUE CROSS BLUE SHIELD
AL
01
—
51022683
BLUE CROSS BLUE SHIELD
AL
01
—
51032724
BLUE CROSS BLUE SHIELD
AL
01
—
D084
MEDICARE
AL
01
—
E706
MEDICARE
AL
01
—
G423
MEDICARE
AL
Enumeration date
04/27/2006
Last updated
10/30/2007
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