Provider Demographics
NPI:1235576695
Name:GREER, GREGORY GENE (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:GENE
Last Name:GREER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:SRIPHAT MEDICAL CENTER
Mailing Address - Street 2:FACULTY OF MEDICINE, CHIANG MAI UNIVERSITY
Mailing Address - City:CHIANG MAI
Mailing Address - State:CHIANG MAI
Mailing Address - Zip Code:50200
Mailing Address - Country:TH
Mailing Address - Phone:665-394-6700
Mailing Address - Fax:
Practice Address - Street 1:7111 E 21ST ST N STE A
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1078
Practice Address - Country:US
Practice Address - Phone:316-684-2851
Practice Address - Fax:316-683-5239
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-25
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-25924207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine