Individual
DR. JOHN H GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3600 KOLBE RD, LORAIN, OH 44053-1654
(440) 960-7474
Mailing address
3600 KOLBE RD, SUITE 210, LORAIN, OH 44053-1654
(440) 960-7474
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
10/20/2006
Last updated
09/12/2013
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