Provider Demographics
NPI:1740486281
Name:STRUNK, GREGORY ALLEN (DO)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALLEN
Last Name:STRUNK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4133 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:BROAD TOP
Mailing Address - State:PA
Mailing Address - Zip Code:16621-9001
Mailing Address - Country:US
Mailing Address - Phone:814-635-2916
Mailing Address - Fax:814-635-2918
Practice Address - Street 1:6678 TOWNE CENTER BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-6934
Practice Address - Country:US
Practice Address - Phone:814-506-8490
Practice Address - Fax:814-506-8493
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2024-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS014711207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102420007-0007Medicaid
PA415176OtherUPMC
PAP024153OtherGATEWAY HEALTH PLAN
PA763369OtherPART B PTAN
PA102420007-0006Medicaid
PA1024200070001Medicaid
PA2144177OtherHIGHMARK