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RYAN ALBERT GREGORIO MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1285849729

Individual Registrant:
 RYAN ALBERT GREGORIO MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
605 GANDY ST NE  RUSSELLVILLE, AL 35653-1911 US
Tel: 256-332-8969  Fax: 256-332-8353

Contact information for business:
PO BOX 99  RUSSELLVILLE, AL 35653-0099 US
Tel: 256-332-8969  Fax: 256-332-8353

Registration Information:
NPI: 1285849729
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL28470

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AL BCBS510-09585AL01
009913923AL05




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