Gregory Raymond Favorite, PA

NPI #1164479408 in Ringling, Oklahoma

Provider Information

NPI Number: 1164479408
Entity Type: Individual
Name: Gregory Raymond Favorite, PA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 103 W MAIN STREET
City: Ringling
State: Oklahoma
ZIP Code: 73456
Phone: (580) 662-2078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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