SearchMissouri208600000X

Gregory Ivins, M.D

NPI 1942211842 · on the registry since 2006 · sole proprietor

Practice

Address
26 S Hospital Dr
Fulton, MO 65251
Phone
(573) 642-0115
Fax
(573) 642-4684

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
207X00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri