Gray'S Foot & Ankle INC.
Clinic/Center, Podiatric in Edmond, OK. Organization (NPI-2).
NPI number1851727770
StatusActive
Last updated in NPPESSep 24, 2013
Details
- NPI
- 1851727770
- Entity type
- Organization (NPI-2)
- Legal business name
- Gray'S Foot & Ankle INC.
- Organization subpart
- No
- Enumeration date
- Sep 24, 2013
- Last updated
- Sep 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP1100X | Clinic/Center, Podiatric | 289 | OK | Yes |
Practice location
14117 Pecan Hollow TerEdmond, OK 73013-7257
Phone 405-919-5663
Mailing address
14117 Pecan Hollow TerEdmond, OK 73013-7257
Phone 405-919-5663
Authorized official
Jeremy Dale Gray
President/Ceo
4059195663
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