Organization
DEBRA A. GRAYSON, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA L SMITH (OFFICE MANAGER)
(614) 575-6270
Entity
Organization
Contact information
Practice address
4677 E MAIN ST, COLUMBUS, OH 43213-3160
(614) 575-6270
(614) 575-6282
Mailing address
4677 E. MAIN STREET, COLUMBUS, OH 43213-3160
(614) 575-6270
(614) 575-6282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-004095-G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716354
—
OH
Enumeration date
12/04/2007
Last updated
02/13/2008
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