MR. Gregg Ian Shore, MD

NPI #1235138983 in Sebring, Florida

Provider Information

NPI Number: 1235138983
Entity Type: Individual
Name: MR. Gregg Ian Shore, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Colon & Rectal Surgery
Credential: MD
Enumeration Date: Jul 15, 2005
Last Updated: Apr 9, 2017

Practice Location

Address: 4759 LAKEVIEW DR
Address 2: STE 101
City: Sebring
State: Florida
ZIP Code: 33870-2005
Phone: (863) 402-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Colon & Rectal Surgery	208C00000X	Primary
Surgery	208600000X

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