Gray, Diana L

Gray, Diana L is an individual health care provider with primary practice located at 4901 Forest Park Ave Div Obgyn Mfm And Us, Ste 710, Saint Louis MO 63108-1495. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Gray, Diana L can be contacted via phone (314) 454-8181.

Contact Information

Primary practice address
4901 Forest Park Ave Div Obgyn Mfm And Us, Ste 710 Saint Louis MO 63108-1495
Phone: (314) 454-8181
Fax: (314) 747-1429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X R6E29 Missouri

Profile Details

NPI number 1447278916
LBN Legal business name Gray, Diana L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about 8 months 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 1447278916 NPPES
Missouri MEDICAID 202119004

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