Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY RAYMOND FAVORITE, PA
ActiveGREGORY RAYMOND FAVORITE, PA is a Physician Assistant healthcare provider located in RINGLING, Oklahoma. NPI 1164479408 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RINGLING, OK
Registration Details
- NPI Number
- 1164479408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2006 (20.200213191725 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA00714 (OK)
Practice Information
- Address
-
103 W MAIN STREETRINGLING, OK, 73456Browse OK providers · Browse ZIP 73456
- Phone
- 5806622078
- Fax
- 5806622085
- Primary Specialty
-
Physician Assistant
363A00000X
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.