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Individual

DR. GREGORY HUNTER HOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18132 MISTY FALLS CIR, EAGLE RIVER, AK 99577-8528
(907) 726-1479
Mailing address
18132 MISTY FALLS CIR, EAGLE RIVER, AK 99577-8528
(907) 726-1479

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1188144
IN
208600000X
Surgery Physician
Primary
6609
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K162469
MEDICARE PTAN
AK
05
MD0986
AK
Enumeration date
12/13/2006
Last updated
10/08/2020
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