Individual
DR. GREGORY A. LEDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3231 S NATIONAL AVE, SPRINGFIELD, MO 65807-7304
(417) 888-5660
(417) 888-6793
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
105722
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207635814
—
MO
01
—
431560263021
TRICARE
—
01
—
460000525
RAILROAD MEDICARE
—
Enumeration date
11/29/2006
Last updated
05/02/2013
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