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Individual

ANDREW CRAIG MCGREGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39313
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36000818
MEDICAID ASC GROUP
KY
01
37903705
MEDICAID LAB GROUP
KY
01
4000501
MEDICARE LAB GROUP
KY
05
64102197
KY
01
ASC1019
MEDICARE ASC GROUP
KY
01
CB5773
RR MEDICARE GROUP
01
P00241289
RR MEDICARE PIN
Enumeration date
07/10/2006
Last updated
11/18/2021
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