Individual
JOHN BUTLER GRAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2114 AIRPORT BLVD, SUITE 1000, PENSACOLA, FL 32504-8926
(850) 476-3696
(850) 477-3573
Mailing address
2114 AIRPORT BLVD, SUITE 1000, PENSACOLA, FL 32504-8926
(850) 476-3696
(850) 477-3573
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME58169
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063628200
—
FL
01
—
0706919
UNITED HEALTHCARE
FL
01
—
10832
BCBSFL
FL
01
—
5790134
AETNA
FL
01
—
59082820
BCBS AL
FL
01
—
63712581
CIGNA
FL
01
—
9795
HEALTH FIRST NETWORK
FL
01
—
P00093516
MEDICARE RR
FL
Enumeration date
10/18/2005
Last updated
07/19/2013
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