Gray, Gary J

Gray, Gary J is an individual health care provider with primary practice located at 6726 Manchester Ave , Saint Louis MO 63139-3525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Gray, Gary J can be contacted via phone (615) 778-4066.

Contact Information

Primary practice address
6726 Manchester Ave Saint Louis MO 63139-3525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X R5110 Missouri

Profile Details

NPI number 1518085281
LBN Legal business name Gray, Gary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Nov 14th, 2011 - 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 1518085281 NPPES
Missouri Other 1518085281 NPI

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