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NPI Code Detail

MEDICARE: DR. GREG H GRAY DO

MEDICARE:  DR. GREG H GRAY  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician2865OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2020039344OTHEROKMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588644660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREG H GRAY DO
Provider Business Mailing Address
First Line : PO BOX 25277
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66225-5277
Country : US
Telephone Number : 918-307-6920
Fax Number : 918-307-6951
Provider Business Practice Location Address
First Line : 10501 E 91ST ST
Second Line : EMERGENCY DEPT
City : TULSA
State : OK
Zip : 74133-5790
Country : US
Telephone Number : 918-307-6920
Fax Number : 918-307-6951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 06/20/2018

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