Individual provider · Type 1 NPI

Brian Walter Gray

Other Specialist/Technologist · Ste Genevieve, MO

NPI number 1821812173 Active

Practice location

10 S Main St
Ste Genevieve, MO 63670-1628

Mailing address

284 Seraphin St
Ste Genevieve, MO 63670-1652

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

About NPI 1821812173

Brian Walter Gray's National Provider Identifier is 1821812173, issued on Nov 13, 2024. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Ste Genevieve, MO. The record was last updated on Nov 14, 2024.