Provider Demographics
NPI:1477923696
Name:GREGG J. GORMLEY, DVM
Entity Type:Organization
Organization Name:GREGG J. GORMLEY, DVM
Other - Org Name:HIGHLAND VETERINARY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:J
Authorized Official - Last Name:GORMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:812-867-6651
Mailing Address - Street 1:6805 DARMSTADT RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-4615
Mailing Address - Country:US
Mailing Address - Phone:812-867-6651
Mailing Address - Fax:812-867-6654
Practice Address - Street 1:6805 DARMSTADT RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-4615
Practice Address - Country:US
Practice Address - Phone:812-867-6651
Practice Address - Fax:812-867-6654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN24003755174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty