Individual
DR. DAVID FREEMAN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9273
Mailing address
42 ENTRADA RT 10, BOX 121, SANTA FE, NM 87507
(505) 474-6172
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
NM79-168
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12922
—
NM
Enumeration date
09/25/2006
Last updated
07/09/2007
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