|Active||Over 10 years ago|
|2611 WAYNE AVE
DAYTON OH, 45420-1833, US
|30 E BROAD ST
COLUMBUS OH, 43215-3414, US
|License Number||E0000394 SUPV|
|Remove 1073672275 NPI Number|
According to our database, Gregory John Wightman L.P.C.C. SUPV. NPI is 1073672275, taxonomy code is 101Y00000X and license number is E0000394 SUPV, license state is located at Ohio. Gregory John Wightman L.P.C.C. SUPV. physically located at 2611 Wayne Ave, Dayton OH, 45420-1833. NPI Number Gregory John Wightman L.P.C.C. SUPV. has the Individual type.
1073672275 NPI number is provided on an as is basis without warranty of any kind. 1073672275 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory John Wightman L.P.C.C. SUPV. are for informational purposes only.