Individual
ANGELA D GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 DEVILLE DR, DUNCANSVILLE, PA 16635
(814) 693-0628
(814) 693-0637
Mailing address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2454
(814) 946-1655
(814) 949-7616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD419838
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019665610001
—
PA
Enumeration date
01/05/2006
Last updated
04/19/2012
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