Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gregory J Wing, MD

Individual provider Dermatology Physician · NPI 1568783819

Mr. Gregory J Wing, MD is a Dermatology in Provo, Utah. Graduated from University of Colorado School of Medicine, Aurora in 2010, 16 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
16
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
AZ, UT
In the registry since
2010
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 N 500 W Ste 111
Provo, UT 84604-3305
Phone: (801) 354-8225
Fax: (801) 418-0941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1688 E. Boston St., Gilbert, AZ 85295-6220 — (480) 855-0085

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 13269871-1205 (UT)
Dermatology Physician Taxonomy 207N00000X · Licence 13269871-1205 (UT)
Dermatology Physician Taxonomy 207N00000X · Licence 50147 (AZ)
Dermatology Physician Taxonomy 207N00000X · Licence 050147 (AZ)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 050147 (AZ)

Record details

NPI number1568783819
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2010
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2010 (16 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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