Male or Other

Dr. Gregory S. Dew D.C., PA-C

Full Name

Dr. Gregory Scott Dew D.C., PA-C

NPI Number

1447277215

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/16/2006

Specialties

(Taxonomies)

Code

111N00000X
363AM0700X

Primary Taxonomy

No
No

Licenses

State

Ohio
Ohio

License Number

2533
2255

Contact
Information

Purpose

Mailing
Location

Address

914 TRAILWOOD DR
914 TRAILWOOD DR

City

Boardman
Boardman

State

OH
OH

Postal Code

44512-5007
44512-5007

Country

US
US

Telephone Number

(330) 758-6440
(330) 758-6440

Identifiers

Identifier

000000353868
2541968
P00261050

Identifier State

OH
OH
OH

Identifier Issuer

ANTHEM
Unknown
RAIL ROAD MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address