SearchOklahoma101YA0400X

Roger Gray, LADC

NPI 1194972455 · on the registry since 2008

Practice

Address
605 E 12th St
Ada, OK 74820
Phone
(580) 436-3504
Fax
(580) 436-5047
Organisation at this address
Family Crisis Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma