Isaac Benjamin Gray

NPI #1164063699 in Edmond, Oklahoma

Provider Information

NPI Number: 1164063699
Entity Type: Individual
Name: Isaac Benjamin Gray
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Oct 6, 2019
Last Updated: Apr 12, 2021

Practice Location

Address: 2017 W I 35 FRONTAGE RD STE 250
City: Edmond
State: Oklahoma
ZIP Code: 73013-8561
Phone: (405) 757-3340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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