Individual
PATRICK J GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
341 MEDICAL LOOP, SUITE 120, ROSEBURG, OR 97471-5540
(541) 672-4470
(541) 672-0665
Mailing address
PO BOX 1700, ROSEBURG, OR 97470-0414
(541) 677-6111
(541) 440-6304
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD24348
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226927
—
OR
Enumeration date
12/05/2005
Last updated
09/07/2010
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