Most Relevant Information
Provider Data
| NPI Number: | 1003515685 |
| Provider Name: | HEITH GRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 261QM0801X |
| Specialty: | Clinic/Center |
| License Number: | QMHS |
Most Important Dates
| Enumeration Date: | 03/02/2023 |
| Last Updated: | 04/10/2023 |
Provider Practice Location
411 COURT ST
PORTSMOUTH
OH
456623932
Practice Location Phone/Fax
| Phone: | 7403546685 |
| Fax: |
Provider Mailing Location
411 COURT ST
PORTSMOUTH
OH
456623932
Provider Mailing Phone/Fax
| Phone: | 7403546685 |
| Fax: |