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Individual

DARRELL M. GRAY II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-6255
(614) 293-8518
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-6255

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
141738
NC
207RG0100X
Gastroenterology Physician
Primary
35124003
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0107279
OH
Enumeration date
05/09/2008
Last updated
12/28/2020
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