Individual
JOHN S GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 WAYNE AVE STE 306, INDIANA, PA 15701-3501
(724) 463-9701
(724) 463-9702
Mailing address
640 KOLTER DR, INDIANA, PA 15701-3570
(724) 357-7196
(724) 357-7279
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD018596E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016068640001
—
PA
01
—
113199
HIGHMARK
PA
05
—
3810022432
—
WV
Enumeration date
03/24/2006
Last updated
03/26/2021
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