Individual provider · NPI-1

Gregory Eastham, MD

Emergency Medicine · Ashland, KY

NPI number1154491850
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154491850
Entity type
Individual (NPI-1)
Name
Gregory Eastham
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 9, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine32843KYYes

Practice location

2201 Lexington Ave
Ashland, KY 41101-2843

Phone 606-327-4565 · Fax 606-327-4565

Mailing address

2201 Lexington Ave
Ashland, KY 41101-2843

Phone 606-327-4565 · Fax 606-327-4565

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