Wing, Gregory J
Wing, Gregory J is an individual health care provider with primary practice located at 1055 N 500 W Ste 111 , Provo UT 84604-3305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Wing, Gregory J can be contacted via phone (801) 354-8225.Contact Information
Primary practice address
1055 N 500 W Ste 111
Provo UT 84604-3305
Phone: (801) 354-8225
Fax: (801) 418-0941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 13269871-1205 | Utah |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 13269871-1205 | Utah |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 50147 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 050147 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 050147 | Arizona |
Profile Details
| NPI number | 1568783819 |
|---|---|
| LBN Legal business name | Wing, Gregory J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2010 |
| Last updated | Aug 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568783819 | NPPES |
| Arizona | MEDICAID | 238919 |
Popular Providers
-
Mccallister, Robert Edward
6920 Parkdale Pl Ste 210, Indianapolis IN 46254-5611 -
Chae, Kyung Ai Mireille
801 York St , Manitowoc WI 54220-4630 -
Parkinson, Richard W
5314 N 250 W Suite 220, Provo UT 84604-5691 -
Lomazoff, Igor
501 Office Center Dr Suite 195, Ft Washington PA 19034-3220 -
Lopez, D. A.
230 Prospect Pl Ste 260, Coronado CA 92118-1987 -
Kageyama, Nicole Prevo
1412 Sw 43Rd St Ste 205 , Renton WA 98057-4803 -
Eyre, Russell Warren
486 W 800 N Ste 201, Orem UT 84057-3728 -
Huether, Michael J.
5980 N La Cholla Blvd , Tucson AZ 85741-3535