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Individual

DR. RICHARD J GREGOIRE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
2240 ADAMS AVE, OGDEN, UT 84401-1511
(801) 393-5355
(801) 394-4609
Mailing address
2240 ADAMS AVE, OGDEN, UT 84401-1511
(801) 393-5355
(801) 394-4609

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
186812-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00456
UT
01
0100324
UNITED HEALTHCARE
01
190958
INTERMOUNTAIN HEALTH CARE
UT
01
PRA03566
MOLINA HEALTHCARE
UT
01
QM0000028199
ALTIUS
UT
Enumeration date
07/08/2005
Last updated
07/08/2007
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