Individual
JOHN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
GEISINGER MEDICAL CTR, 100 N. ACADEMY AVE M.C. 2150, DANVILLE, PA 17822-0001
(570) 271-6369
Mailing address
GEISINGER MEDICAL CTR, 100 N. ACADEMY AVE M.C. 2770, DANVILLE, PA 17822-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9501257
NC
2086S0129X
Vascular Surgery Physician
MD434078
PA
Other
Enumeration date
07/21/2006
Last updated
09/24/2024
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