| NPI | 1518028398 |
|---|---|
| Former Legal Business Name | GREGORY & ASSOCIATES DERMATOLOGY, LTD |
| Entity Type | Organization |
| Authorized Contact | SUSAN L. JOURNAGAN President 618-233-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-12-26 |