Provider Demographics
NPI:1730286972
Name:GREGORY D PRICE, SR, MD, PC
Entity Type:Organization
Organization Name:GREGORY D PRICE, SR, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:DODSON
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:435-634-4283
Mailing Address - Street 1:736 S 900 E
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7000
Mailing Address - Country:US
Mailing Address - Phone:435-634-4283
Mailing Address - Fax:
Practice Address - Street 1:736 S 900 E
Practice Address - Street 2:SUITE 108
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7000
Practice Address - Country:US
Practice Address - Phone:435-634-4283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty