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DR. GREGORY VAN DUBAY DPM

Foot Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1720146954

Individual Registrant:
DR. GREGORY VAN DUBAY DPM
Gender: M
Sole Proprietor

Location and contact information for practice:
875 FRIENDSHIP RD STE J  TALLASSEE, AL 36078-1256 US
Tel: 334-283-4178  Fax: 334-283-2190

Contact information for business:
PO BOX 780367  TALLASSEE, AL 36078-0004 US
Tel: 334-283-4178  Fax: 334-283-2190

Registration Information:
NPI: 1720146954
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213ES0131XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot Surgery
ALAL71

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
051552056AL05
BCBSAL515-12528AL01
MEDICARE PROVIDER051552056AL01
GROUP NPI1841468238AL01




HEALTH CARE JOBS AL - Page 1



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