NPI 1003174004

Susan J. Gray, MD

Practitioner Family Medicine Physician Fenton, MO

Practice location

Address: 1345 Smizer Mill Rd STE 1100, Fenton, MO 63026-7305
Phone: (636) 496-5023
Mailing address: PO Box 955534, Saint Louis, MO 63195-5534

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2016009600 (MO)

Other Family Medicine providers in Missouri →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 34741 (SC)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Missouri →

Registry record

NPI: 1003174004
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2012
Record last updated: 19 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.