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Individual

ANNA CHRISTINE GRAY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1830 BETHEL RD, SUITE C, COLUMBUS, OH 43220-1809
(614) 326-1600
(614) 326-3600
Mailing address
1830 BETHEL RD, SUITE C, COLUMBUS, OH 43220-1809
(614) 326-1600
(614) 326-3600

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
35080544
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000311637
ANTHEM
OH
01
1204539
UNITED HEALTHCARE
OH
Enumeration date
03/24/2006
Last updated
07/08/2007
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