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Individual

DR. GREGORY A JARYGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7100 OAKMONT BLVD, SUITE 208, FT WORTH, TX 76132-3911
(817) 346-7481
(817) 346-7908
Mailing address
7100 OAKMONT BLVD, SUITE 208, FORT WORTH, TX 76132-3911
(817) 346-7481
(817) 346-7908

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0983
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00823317
GROUP MEMEBER INDIVIDUAL RRM PTAN #
TX
Enumeration date
05/10/2006
Last updated
06/28/2011
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