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Individual

WILLIAM KNIGHT GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 728-6194
(918) 664-2521
Mailing address
4500 S GARNETT RD, SUITE 919, TULSA, OK 74146-5229
(918) 728-6194
(918) 664-2521

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14400
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100254130C
OK
01
930085461
RAILROAD MEDICARE
OK
01
P00360689
RAILROAD MEDICARE
OK
Enumeration date
11/04/2005
Last updated
12/06/2007
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