Individual
ADAM M GREGORY
Active
Individual
ADAM M GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01058285A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200870830
—
IN
01
—
P00452683
RAILROAD MEDICARE
IN
Enumeration date
05/31/2007
Last updated
03/05/2021
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