Individual
JEFFREY LYNN MCGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1 WAHOO AVE, UNDERSEA MEDICINE, GROTON, CT 06340-2324
(860) 694-7530
(860) 694-3743
Mailing address
117 MICHIGAN DR, GROTON, CT 06340-6133
(860) 694-7530
(360) 286-6358
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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