Individual
MR. JOSEPH GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1001 E 18TH ST, GROVE, OK 74344-2907
(918) 822-2326
Mailing address
1001 E 18TH ST, GROVE, OK 74344-2907
(918) 822-2326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
207892
OK
Other
Enumeration date
12/14/2021
Last updated
10/23/2024
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