Individual
DR. GREGORY KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 W ILLINOIS AVE, MIDLAND, TX 79701-6407
(432) 570-1421
(432) 570-1427
Mailing address
1004 N BIG SPRING ST, SUITE 620, MIDLAND, TX 79701-3354
(432) 570-1421
(432) 570-1427
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L6975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J8510
SWMI BCBSTX PROV#
TX
Enumeration date
02/23/2006
Last updated
04/14/2008
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