Individual
GREGORY CIZEK
Active
Individual
GREGORY CIZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
105428
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010591
ESSENCE
MO
01
—
110069
GHP
MO
01
—
144352
BCBS
MO
01
—
1600300
UHC
MO
05
—
208265116
—
MO
01
—
288546
HEALTHLINK
MO
01
—
5872678
AETNA
MO
01
—
F82310
MERCY
MO
Enumeration date
11/03/2005
Last updated
09/21/2012
Update your record
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