Individual
LE ROY GURGANIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
43870
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508795
—
TN
01
—
2864255
AETNA HMO
FL
01
—
5261266
AETNA PPO
FL
01
—
8913135002
CIGNA
FL
01
—
P00084628
RAILROAD MEDICARE
FL
Enumeration date
08/30/2006
Last updated
06/02/2011
Update your record
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