Individual
JERRY L GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1599 SOMERSET AVE, STE #1, WINDBER, PA 15963
(814) 467-5600
(814) 467-5605
Mailing address
1599 SOMERSET AVE, STE #1, WINDBER, PA 15963
(814) 467-5600
(814) 467-5605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD014719E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008730650004
—
PA
Enumeration date
08/19/2005
Last updated
08/12/2008
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