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Individual

DR. DARIN MICHAEL GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13808 W MAPLE RD, SUITE 124, OMAHA, NE 68164-6231
(402) 493-8200
(402) 493-1482
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
(402) 717-4317

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22162
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04027
BLUE CROSS BLUE SHIELD
NE
01
476000549002
MUTUAL OF OMAHA
05
H7600054901
NE
Enumeration date
10/06/2006
Last updated
08/03/2007
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