Individual
ALEXA JEANNE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
46 E 15TH ST, EDMOND, OK 73013-4301
(405) 844-5210
(405) 341-7074
Mailing address
17304 SUN RIVER CT, EDMOND, OK 73012-6784
(405) 715-2595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2236
OK
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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