Individual
DR. ANN MARIE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2305 S HIGHWAY 65, MARSHALL, MO 65340-3702
(660) 886-7431
(660) 831-3314
Mailing address
9401 E 30TH ST S, INDEPENDENCE, MO 64052-1331
(816) 665-3454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-28795
KS
207Q00000X
Family Medicine Physician
Primary
112737
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD6440
MEDICARE RAILROAD GRP #
KS
01
—
P00125145
MEDICARE RAILROAD PIN
KS
Enumeration date
04/14/2006
Last updated
01/21/2025
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