Individual
PETER G GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
638 FAIRVIEW RD, CLARKS SUMMIT, PA 18411-8955
(570) 281-1315
(570) 281-1256
Mailing address
PO BOX 517, CARBONDALE, PA 18407-0517
(570) 281-1287
(570) 281-1256
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD051388L
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD051388L
PA
2085U0001X
Diagnostic Ultrasound Physician
MD051388L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442778
—
PA
Enumeration date
08/22/2006
Last updated
07/22/2010
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