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
Phone: (615) 778-4066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518085281 | NPPES |
| Missouri | Other | 1518085281 | NPI |
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