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Individual

DR. ARLES GAREL RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1317 S DEWEY AVE, SUITE 2, WAGONER, OK 74467-7013
(918) 485-9696
(918) 485-1701
Mailing address
1317 S DEWEY AVE, WAGONER, OK 74467-7013
(918) 485-9696
(918) 485-1707

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11310
OK
208D00000X
General Practice Physician
Primary
11310
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11310
STATE LICENSE NO.
OK
Enumeration date
07/18/2006
Last updated
01/28/2011
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