Gray Derm Pllc

NPI #1104392679 in Lima, Ohio

Provider Information

NPI Number: 1104392679
Entity Type: Organization
Organization Name: Gray Derm Pllc
Primary Specialty: Dermatology
Enumeration Date: Oct 22, 2018
Last Updated: Feb 4, 2026

Practice Location

Address: 750 W HIGH ST STE 300
City: Lima
State: Ohio
ZIP Code: 45801-2967
Phone: (419) 229-6781

Authorized Official

Name: BRYAN GRAY, DO
Title: DO/PRACTICE OWNER
Phone: (614) 596-6789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology	207N00000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Jennifer J Breedlove, DO	Dermatology	Lima	AI Deep Dive
DR. William O Light, MD	Dermatology	Lima	AI Deep Dive
Michael Riley Heaphy SR., M.D.	Dermatology	Lima	AI Deep Dive
Bryan Gray, DO	Dermatology	Lima	AI Deep Dive

Organizations

Provider Name	Specialty	City
West Ohio Dermatology, Inc.	Dermatology	Lima	AI Deep Dive

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