Individual
ERIC GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2000 S WHEELING AVE, TULSA, OK 74104-5649
(918) 748-7854
Mailing address
2000 S WHEELING AVE, TULSA, OK 74104-5649
(918) 748-7854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1966
OK
Other
Enumeration date
04/25/2011
Last updated
07/06/2011
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