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Individual

MR. GREGORY S FUNK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3849 GULF SHORES PKWY, SUITE 9, GULF SHORES, AL 36542
(251) 968-2441
(251) 968-5555
Mailing address
PO BOX 2029, GULF SHORES, AL 36547
(251) 968-2441
(251) 968-5555

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D058
AL
208D00000X
General Practice Physician
Primary
DO58
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511 22924
BCBS
AL
Enumeration date
10/10/2005
Last updated
09/11/2012
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