Gray, Patrick Wallace
Gray, Patrick Wallace is an sole proprietor health care provider with primary practice located at 400 Fairview Ave Suite 17, Ponca City OK 74601-1910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gray, Patrick Wallace can be contacted via phone (580) 762-3696.Contact Information
Primary practice address
400 Fairview Ave Suite 17
Ponca City OK 74601-1910
Phone: (580) 762-3696
Fax: (580) 765-0675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15395 | Oklahoma |
Profile Details
| NPI number | 1942208855 |
|---|---|
| LBN Legal business name | Gray, Patrick Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Aug 28th, 2012 - about 12 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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