Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY SCOTT CHURCHILL, PHYSICIAN ASSISTANT
ActiveMedical Physician Assistant · O FALLON, IL
Registration Details
- NPI Number
- 1053390237
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2006 (20.262610788615 yrs)
- Last Updated
- Mar 25, 2021
- License
-
085002702 (IL)
Practice Information
- Address
-
310 N 7 HILLS RDO FALLON, IL, 622694111Browse IL providers · Browse ZIP 62269
- Phone
- 6186246181
- Fax
- 6186247172
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE J. BARNES | PA-C | 1184685174 |
| MR. RALPH DOUGLAS SPAFFORD | P.A.-C | 1043446008 |
| KHALILA A GUZMAN | PA | 1265919526 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.