# GREGORY W. SCHALL, DO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194964510
- **Authorized official:** GREGORY WILLIAM SCHALL MD (MD/OWNER)
- **Authorized official phone:** (740) 490-8215

## Contact information

- **Practice address:** 312 W HIGH STREET, LEBANON, KY 40033
- **Practice address phone:** (270) 692-9559
- **Practice address fax:** (270) 692-9236
- **Mailing address:** 312 W HIGH STREET, LEBANON, KY 40033
- **Mailing address phone:** (270) 692-9559
- **Mailing address fax:** (270) 692-9236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2009
- **Last updated:** 02/09/2009