Individual
DR. GREGORY J. DEHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014-2465
(540) 982-8204
(540) 224-1059
Mailing address
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014-2465
(540) 982-8204
(540) 224-1059
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101264003
VA
207RI0011X
Interventional Cardiology Physician
E7880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060064210
RR/MEDICARE
TX
05
—
1446437-01
—
TX
01
—
1446437-02
CSHCN
TX
01
—
8B0912
BLUE SHIELD
TX
Enumeration date
03/22/2006
Last updated
07/05/2022
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