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GREGORY ALLEN AITCHISON MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1588841878

Individual Registrant:
 GREGORY ALLEN AITCHISON MD
Gender: M
Sole Proprietor

Location and contact information for practice:
701 ARKANSAS BLVD  TEXARKANA, AR 71854-2105 US
Tel: 870-772-5028  Fax: --

Contact information for business:
701 ARKANSAS BLVD  TEXARKANA, AR 71854-2105 US
Tel: 870-772-5028  Fax: --

Registration Information:
NPI: 1588841878
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
ORMD13302
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
ORMD13302

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS00024340000OR01
277384OR05




HEALTH CARE JOBS AR - Page 1



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