Billy Jack Gregg

NPI #1093477184 in Purcell, Oklahoma

Provider Information

NPI Number: 1093477184
Entity Type: Individual
Name: Billy Jack Gregg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 6, 2021
Last Updated: Oct 6, 2021

Practice Location

Address: 23899 STATE HIGHWAY 74
City: Purcell
State: Oklahoma
ZIP Code: 73080-6964
Phone: (405) 779-1525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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