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Individual

DR. GREGORY C YERINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193
(317) 583-7600
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01076329A
IN
207L00000X
Anesthesiology Physician
35082112
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35082112
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000338512
ANTHEM-OHIO
OH
05
2374265
OH
01
P00174163
RR MCR
OH
01
XXXXX0042-00
BWC-OH
OH
Enumeration date
07/19/2005
Last updated
03/28/2016
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