| Doctor Name: | DR. GREGORY VAN DUBAY |
| NPI Number: | 1720146954 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | AL71 |
| Business Practice Address: | 875 Friendship Rd Ste J Tallassee, AL - 360781256 |
| Business Phone Number: | 3342834178 |
| Business Fax Number: | 3342832190 |
| Mailing Address: | Po Box 780367, TALLASSEE |
| State: | AL |
| Postal Code: | 360780004 |
| Phone Number: | 3342834178 |
| Fax Number: | 3342832190 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 09/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | AL71 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |