Individual provider · Type 1 NPI

Susan J. Gray, MD

Family Medicine Physician · Fenton, MO

NPI number 1003174004 Active

Practice location

1345 Smizer Mill Rd Ste 1100
Fenton, MO 63026-7305

Call (636) 496-5023 Map

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 853 N Church St, Suite 510, Spartanburg, SC 29303-3098 · (864) 560-7001

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X34741 (SC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X2016009600 (MO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1003174004

Susan J. Gray, MD's National Provider Identifier is 1003174004, issued on Apr 26, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fenton, MO. The record was last updated on Mar 19, 2025.