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Organization
GREGORY MEDICAL CLINIC LLC
Active
Organization
GREGORY MEDICAL CLINIC LLC
Active
Other names
dr. myra gregory do
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRA ANN GREGORY DO (OWNER/PHYSICIAN)
(918) 647-9533
Entity
Organization
Contact information
Practice address
2202 N BROADWAY ST, POTEAU, OK 74953-2000
(918) 647-9533
(918) 647-9492
Mailing address
2202 N BROADWAY ST, PO BOX 1368, POTEAU, OK 74953-2000
(918) 647-9533
(918) 647-9492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3031
OK
Other
Enumeration date
09/04/2009
Last updated
09/28/2009
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