Individual
JOHN W GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 499-6084
(573) 499-6088
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R4H10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102476
HEALTHLINK
MO
05
—
202486502
—
MO
01
—
2086688701
KANSAS MEDICAID
KS
01
—
703009
UNITED HEALTHCARE
MO
01
—
7626
BLUE SHIELD/BLUE CHOICE
MO
Enumeration date
05/05/2006
Last updated
01/27/2012
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