Organization
URGENT MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY LANCE GREGSTON MD (OWNER)
(580) 252-1911
Entity
Organization
Contact information
Practice address
2004 N HIGHWAY 81, STE E, DUNCAN, OK 73533-1460
(580) 252-1911
(580) 252-1020
Mailing address
2004 N HIGHWAY 81, DUNCAN, OK 73533-1460
(580) 252-1911
(580) 252-1020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200069940A
—
OK
Enumeration date
05/30/2007
Last updated
07/16/2020
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