Individual
MICHAEL L GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(972) 715-3800
Mailing address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35061759
OH
208D00000X
General Practice Physician
35061759
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0878233
—
OH
Enumeration date
07/21/2005
Last updated
12/17/2015
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