Individual
CHRISTOPHER DAVID GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1507 S HICKORY ST, BRISTOW, OK 74010-3924
(602) 367-1188
Mailing address
1507 S HICKORY ST, BRISTOW, OK 74010-3924
(602) 367-1188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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