Individual
REL LARKIN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 E REYNOLDS DRIVE, SUITE C2, RUSTON, LA 71270
(318) 251-1000
(318) 251-1002
Mailing address
206 E REYNOLDS DRIVE, SUITE C2, RUSTON, LA 71270
(318) 251-1000
(318) 251-1002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010367
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119032
—
LA
Enumeration date
08/07/2006
Last updated
07/08/2007
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