Individual
GREGORY H CROSS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-2582
(307) 578-2389
Mailing address
PO BOX 1829, COEUR D ALENE, ID 83816-1829
(800) 667-9334
(208) 664-2341
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6294A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117711700
—
WY
01
—
P00199154
RR MEDICARE
WY
Enumeration date
08/30/2005
Last updated
11/19/2020
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