Individual
DR. GREGORY ALLEN ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 MEDICAL PARK PL, HOT SPRINGS, AR 71901-8051
(501) 625-3400
(501) 625-3402
Mailing address
130 MEDICAL PARK PL, HOT SPRINGS, AR 71901-8051
(501) 625-3400
(501) 625-3402
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C-7977
AR
207RI0011X
Interventional Cardiology Physician
C-7977
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060025716
RAILROAD MEDICARE
AR
05
—
124898001
—
AR
01
—
5J344
BCBS OF AR
AR
Enumeration date
06/16/2005
Last updated
01/27/2015
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