Individual
DR. JONATHAN SIMON GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 HOSPITAL DR STE 420, BOSSIER CITY, LA 71111-2391
(318) 212-7910
(318) 752-7915
Mailing address
2400 HOSPITAL DR STE 420, BOSSIER CITY, LA 71111-2391
(318) 212-7910
(318) 752-7915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
332662
LA
Other
Enumeration date
07/21/2016
Last updated
08/25/2022
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