Individual
TAMMY R. GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1710 1ST ST, ALAMOSA, CO 81101-2302
(719) 589-3658
(719) 589-3650
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-5161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44979
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67086357
—
CO
Enumeration date
06/08/2007
Last updated
09/27/2013
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