Organization
MARK H GREGORY MD PC
Active
Organization
MARK H GREGORY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GREGORY MD (OWNER)
(314) 872-8470
Entity
Organization
Contact information
Practice address
555 N NEW BALLAS RD, SUITE 101, SAINT LOUIS, MO 63141-6825
(314) 872-8470
(314) 872-8471
Mailing address
PO BOX 445, SULLIVAN, MO 63080-0445
(573) 468-6501
(573) 468-6502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100578
MO
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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