Archer, Ann Gray

Archer, Ann Gray is an individual health care provider with primary practice located at 3330 Nw 56Th Suite 206, Oklahoma City OK 73112-4426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Archer, Ann Gray can be contacted via phone (405) 945-4710.

Contact Information

Primary practice address
3330 Nw 56Th Suite 206 Oklahoma City OK 73112-4426
Fax: (405) 265-6308
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 23776 Oklahoma

Profile Details

NPI number 1396713624
LBN Legal business name Archer, Ann Gray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Aug 3rd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396713624 NPPES
Oklahoma Other P00704890 MEDICARE RAILROAD
Oklahoma MEDICAID 200022970A MEDICARE RAILROAD

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