Individual
GREGORY A DOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 W 10TH ST, SUITE 301, SEDALIA, MO 65301-2540
(660) 827-2730
(660) 827-2731
Mailing address
601 E 14TH ST, PO BOX 1706, SEDALIA, MO 65301-5972
(660) 827-9407
(660) 827-3742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R5C46
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588650741
—
MO
Enumeration date
09/23/2005
Last updated
12/23/2014
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