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Organization

JOHN H GRAY DO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN H GRAY DO (OWNER/PROVIDER)
(440) 960-7474
Entity
Organization

Contact information

Practice address
3600 KOLBE RD, SUITE 210, LORAIN, OH 44053-1654
(440) 960-7474
(440) 960-0225
Mailing address
3600 KOLBE RD, SUITE 210, LORAIN, OH 44053-1654
(440) 960-7474
(440) 960-0225

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003191
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0507286
OH
Enumeration date
09/11/2007
Last updated
01/05/2010
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