Individual
JOHN B GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
127 MASCOMA ST, LEBANON, NH 03766-2661
(603) 443-9572
(603) 443-9521
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2900
(603) 443-9572
(603) 443-9521
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0305
NH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0305
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068170
BLUE CROSS BLUE SHIELD
VT
01
—
03Y007385NH02
ANTHEM BCBS
NH
05
—
1011596
—
VT
05
—
30363594
—
NH
01
—
U71898
HARVARD PILGRIM
—
Enumeration date
08/11/2006
Last updated
04/14/2017
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