Individual
DR. GREGORY N ENTIS
Active
Individual
DR. GREGORY N ENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35039575E
OH
207K00000X
Allergy & Immunology Physician
35.039575
OH
207KA0200X
Allergy Physician
Primary
35.039575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402853
—
OH
05
—
0459329
—
OH
Enumeration date
06/02/2005
Last updated
07/15/2015
Update your record
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