Individual
GREGORY ROBERT DURST
Active
Individual
GREGORY ROBERT DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8642
IA
2085R0202X
Diagnostic Radiology Physician
40657
IA
2085R0202X
Diagnostic Radiology Physician
Primary
ME 120404
FL
2085R0202X
Diagnostic Radiology Physician
TRN14951
FL
Other
Enumeration date
06/26/2009
Last updated
07/21/2015
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