Organization
LOCAL MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY LANCE GREGSTON MD (PHYSICIAN/OWNER)
(405) 381-9979
Entity
Organization
Contact information
Practice address
4805 E HIGHWAY 37, TUTTLE, OK 73089-8791
(405) 384-1690
Mailing address
4805 E HIGHWAY 37, TUTTLE, OK 73089-8791
(405) 384-1690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
02/28/2019
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