Individual
GREGORY DANIEL PUTHOFF
Active
Individual
GREGORY DANIEL PUTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2018-00204
NC
2085R0202X
Diagnostic Radiology Physician
5101020221
MI
2085R0202X
Diagnostic Radiology Physician
Primary
83720
SC
Other
Enumeration date
05/13/2013
Last updated
11/02/2021
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