Local Med LLC
Organization Active NPI Family Medicine Physician · Walters, OK
NPI 1962991919 · NPPES record last updated Feb 28, 2019
Key facts
- NPI
- 1962991919
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- LOCAL MED LLC
- Practice address
- 402 N Broadway St
Walters, OK 73572 - Phone
- (580) 252-5100
- Fax
- (580) 252-5102
- NPI assigned
- May 4, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Jay Lance Gregston, MD
- Title
- Owner/Physician
- Phone
- (580) 875-5622
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | OK | Yes |
Addresses
Primary practice location
402 N Broadway St
Walters, OK 73572
Mailing address
402 N Broadway St
Walters, OK 73572-1230
Phone (580) 875-5622
Other providers in Walters, OK
- Jeff Hickman LLC
- Clinton D Kerr
- Jennifer King
- Lanette Kopaddy
- Floyd J Lashley Jr.
- April Nicole Lowery
- Lyons Drug and Gift
- Mitzie Ann Lyons
- Personal Touch of Walters, Oklahoma, Inc.
- Madison James Phillips
All providers in Walters, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.