DR. Gregory Keith Ivins, M.D.

NPI #1942211842 in Fulton, Missouri

Provider Information

NPI Number: 1942211842
Entity Type: Individual
Name: DR. Gregory Keith Ivins, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Aug 10, 2006
Last Updated: Jan 23, 2008

Practice Location

Address: 26 S HOSPITAL DR
City: Fulton
State: Missouri
ZIP Code: 65251-2510
Phone: (573) 642-0115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Surgery	208600000X	Primary

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