Provider Demographics
NPI:1033129325
Name:OGRINC, GREGORY SIMON (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:SIMON
Last Name:OGRINC
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:WHITE RIVER JUNCTION VETERANS HOSPITAL
Mailing Address - Street 2:215 N MAIN ST (11Q)
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05009-0001
Mailing Address - Country:US
Mailing Address - Phone:802-291-6285
Mailing Address - Fax:802-291-6286
Practice Address - Street 1:WHITE RIVER JUNCTION VETERANS HOSPITAL
Practice Address - Street 2:215 N MAIN ST (11Q)
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05009-0001
Practice Address - Country:US
Practice Address - Phone:802-291-6285
Practice Address - Fax:802-291-6286
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH10914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine