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Individual

DR. JULIA GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 750-0125
(479) 750-0323
Mailing address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 750-0125
(479) 750-0323

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E4920
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161151001
AR
01
E4920
AR LICENCE
AR
Enumeration date
07/31/2006
Last updated
07/21/2022
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