Individual
DR. GREGORY JOSEPH BATHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 HERRING AVE, WACO, TX 76708-3239
(254) 202-8525
Mailing address
2020 BROOK ARBOR CT, MC GREGOR, TX 76657-3471
(254) 845-4322
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
539
CO
Other
Enumeration date
02/28/2006
Last updated
10/17/2007
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