Individual
DR. GREGG JOSEPH SALATHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 BRANSON LANDING BLVD, BRANSON, MO 65616-2052
(417) 335-7000
Mailing address
5173 S VIRGINIA AVE, SPRINGFIELD, MO 65810-2863
(417) 830-0522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R8N15
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346391778
—
MO
05
—
202897104
—
MO
Enumeration date
01/14/2007
Last updated
12/09/2020
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