Provider Demographics
NPI:1356056402
Name:GREGALIT, FRANK EDWARD II (PA)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:EDWARD
Last Name:GREGALIT
Suffix:II
Gender:M
Credentials:PA
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Mailing Address - Street 1:168 E HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-8733
Mailing Address - Country:US
Mailing Address - Phone:304-685-3151
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-1200
Practice Address - Country:US
Practice Address - Phone:304-598-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV1190970363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant