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Organization

GREGORY J. HOUGH, D.C., P.C.

Active
Other names
Fort Wayne Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY J HOUGH D.C. (OWNER/ PRESIDENT)
(260) 492-8300
Entity
Organization

Contact information

Practice address
4771 TRIER RD, FORT WAYNE, IN 46815-4968
(260) 492-8300
(260) 492-8301
Mailing address
PO BOX 15959, FORT WAYNE, IN 46885-5959
(260) 492-8300
(260) 492-8301

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001092
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100081330A
IN
Enumeration date
04/14/2008
Last updated
04/11/2012
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