Individual
DR. JACK KENNETH GRAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 573-3934
(405) 573-3962
Mailing address
909 ALAMEDA ST, PO BOX 400, NORMAN, OK 73071-5229
(405) 573-3934
(405) 573-3962
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15966
OK
2084P0800X
Psychiatry Physician
19414
TN
Other
Enumeration date
02/08/2006
Last updated
03/24/2008
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