Individual
DR. GREGORY S TIERNEY
Active
Individual
DR. GREGORY S TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
7579
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000007501
BLUE CROSS BLUE SHIELD
MT
05
—
0103571
—
MT
01
—
0136986
WASHINGTON L&I
MT
01
—
200019136
RAILROAD MEDICARE
MT
01
—
810347861
CHAMPUS
MT
01
—
810347861008
EBMS
MT
Enumeration date
06/22/2006
Last updated
04/05/2024
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