Individual
GARY F UPDEGROVE
Active
Individual
GARY F UPDEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2015-00478
NC
207X00000X
Orthopaedic Surgery Physician
MT196612
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD447323
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032342850002
—
PA
05
—
1518287010
—
NC
05
—
NC2429
—
SC
Enumeration date
06/07/2010
Last updated
10/16/2017
Update your record
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