Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 042-0010016 | VT |
Y | 207RH0003X | Hematology & Oncology | 11933 | NH |
NPI | 1033229703 |
---|---|
Provider Name | Gregory Harold Ripple |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 12/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0VN2254 | (05) | VT |
30203431 | (05) | NH |
G76635 | (02) |