Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101041387 | VA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 0101041387 | VA |
NPI | 1154315398 |
---|---|
Provider Name | Gregory Gerard Degnan VI |
First Address | Baltimore, MD 21279-0777 |
Second Address | Charlottesville, VA 22911-5639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2005 |
Last Update Date | 27/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F88499 | (02) | VA |