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Individual

HEATHER M GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1138 W HIGH ST, LIMA, OH 45805-2725
(419) 225-2726
(419) 228-9909
Mailing address
1138 W HIGH ST, LIMA, OH 45805-2725
(419) 225-2726
(419) 228-9909

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003578
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2348856
OH
01
480031634
RAILROAD MEDICARE
OH
01
CB6624
RAILROAD MEDICARE
Enumeration date
06/09/2009
Last updated
03/03/2021
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