Individual
ANN GRAY ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3330 NW 56TH, SUITE 206, OKLAHOMA CITY, OK 73112-4426
(405) 945-4710
(405) 265-6308
Mailing address
3330 NW 56TH, SUITE 206, OKLAHOMA CITY, OK 73112-4426
(405) 945-4710
(405) 265-6308
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23776
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200022970A
—
OK
01
—
P00704890
MEDICARE RAILROAD
OK
Enumeration date
03/11/2006
Last updated
08/03/2010
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