Individual
MR. GREGORY BOOKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
271 FORT RICHARDSON AVENUE, GOODFELLOW AIR FORCE BASE, TX 76908
(325) 654-3581
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-2947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1184
TX
Other
Enumeration date
03/07/2016
Last updated
05/18/2023
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