Individual
DR. JOHN THOMAS GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
SHARE MEDICAL CENTER, ALVA, OK 73717
(806) 346-1468
Mailing address
8800 TALL OAKS DR, GUTHRIE, OK 73044-6139
(806) 346-1468
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17854
OK
207P00000X
Emergency Medicine Physician
H5890
TX
208600000X
Surgery Physician
Primary
17854
OK
208600000X
Surgery Physician
H5890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096627702
—
TX
05
—
100205210A
—
OK
01
—
613716
MEDICARE
TX
Enumeration date
11/09/2005
Last updated
08/31/2021
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