Individual
DR. JAY LANCE GREGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2004 N HIGHWAY 81, DUNCAN, OK 73533-1460
(580) 252-1911
(580) 252-1020
Mailing address
2004 N HIGHWAY 81, DUNCAN, OK 73533-1460
(580) 252-1911
(580) 252-5102
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20226
OK
207Q00000X
Family Medicine Physician
20226
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254370A
—
OK
05
—
100254370B
—
OK
05
—
200069940A
—
OK
05
—
200116880A
—
OK
05
—
200116880B
—
OK
Enumeration date
10/06/2005
Last updated
01/17/2024
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