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GREGORY MEDICAL CLINIC LLC NPI 1437482692


NPI Information

NPI: 1437482692
Provider Name: GREGORY MEDICAL CLINIC LLC

Former Legal Business Name: DR. MYRA GREGORY DO

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2202 N BROADWAY ST
POTEAU, OK
ZIP 74953
Phone: (918) 647-9533
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GREGORY MEDICAL CLINIC LLC is a family medicine in Poteau, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GREGORY MEDICAL CLINIC LLC NPI is 1437482692. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dr. Myra Gregory Do.

The provider's business location address is:

2202 N BROADWAY ST
POTEAU, OK
ZIP 74953-000
Phone: (918) 647-9533
Fax: (918) 647-9492

The provider's authorized official is Myra Ann Gregory .
The authorized official title is Owner/physician and has the following contact phone number (918) 647-9533.

The enumeration date for this NPI number is 9/4/2009 and was last updated on 9/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine3031OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100120120FMEDICAIDOKLAHOMA
2OK100377MEDICARE PINOKLAHOMA
3F28652MEDICARE UPINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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