Individual
GARY J GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6726 MANCHESTER AVE, SAINT LOUIS, MO 63139-3525
(615) 778-4066
Mailing address
6726 MANCHESTER AVE, SAINT LOUIS, MO 63139-3525
(314) 647-0081
(314) 647-5485
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
R5110
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518085281
NPI
MO
Enumeration date
03/27/2007
Last updated
11/14/2011
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