Individual
DR. MYRA ANN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O., LLC
Contact information
Practice address
1324 N HARVILLE RD, DUNCAN, OK 73533-1514
(580) 252-1373
Mailing address
2210 DUNCAN REGIONAL LOOP, DUNCAN, OK 73533-1564
(580) 252-1373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3031
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120120A
—
OK
05
—
100120120F
—
OK
Enumeration date
05/01/2006
Last updated
03/23/2022
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