Individual
GREGORY J ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-5404
(765) 751-2757
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
007990
AZ
207L00000X
Anesthesiology Physician
Primary
02007233A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078348
—
IN
01
—
M22404299
MEDICARE PTAN
IN
Enumeration date
05/04/2015
Last updated
08/15/2023
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