Individual
DR. ADAM THOMAS GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-5050
(316) 689-6192
Mailing address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-5050
(316) 689-6192
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0436345
KS
2085R0202X
Diagnostic Radiology Physician
34486
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201074290A
—
KS
01
—
P01218653
RR MEDICARE
KS
Enumeration date
08/26/2008
Last updated
04/02/2014
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