Gregory Creel, PA
Physician Assistant in Parkersburg, WV. Individual provider (NPI-1).
NPI number1821037896
StatusActive
Last updated in NPPESJun 4, 2015
Details
- NPI
- 1821037896
- Entity type
- Individual (NPI-1)
- Name
- Gregory Creel
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2006
- Last updated
- Jun 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 102162 | NC | Yes |
| 207P00000X | Emergency Medicine | 644 | WV |
Practice location
800 Garfield AveParkersburg, WV 26101-5340
Phone 304-424-2111 · Fax 904-346-0113
Mailing address
1103 Juliana StParkersburg, WV 26101-4316
Phone 304-422-5680 · Fax 304-424-4766
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