Individual
JOHN G. DENEGRE
Active
Individual
JOHN G. DENEGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8675
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019911
BCBS PIN
MT
01
—
0018139
MDCD PIN
MT
01
—
1145900800
MDCD PIN
WY
Enumeration date
08/31/2006
Last updated
04/30/2013
Update your record
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