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NPI Code Detail

MEDICARE: REUEL M. GREGORY DO

MEDICARE: REUEL M. GREGORY DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician2001010862MO
2207P00000XEmergency Medicine Physician20012010862MO
3207Q00000XFamily Medicine Physician2001010862MO
4207Q00000XFamily Medicine Physician2001201862MO

General Provider Information

NPI Number : 1861454910
Entity Type Code : Individual
Provider Name (Legal Business Name) : REUEL M. GREGORY DO
Provider Business Mailing Address
First Line : 902 WOLLARD BLVD
Second Line :
City : RICHMOND
State : MO
Zip : 64085-2229
Country : US
Telephone Number : 816-776-2201
Fax Number : 816-480-4515
Provider Business Practice Location Address
First Line : 902 WOLLARD BLVD
Second Line :
City : RICHMOND
State : MO
Zip : 64085-2229
Country : US
Telephone Number : 816-776-2201
Fax Number : 816-480-4515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 08/27/2020

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Directions to “ REUEL M. GREGORY DO” Practice Location

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