Richard E Gray D.O.

NPI 1003044421 - Family Medicine - 207Q00000X

NPI Details
NPI 1003044421
Gender Male
Enumeration Date 06/24/2009
Last Updated 01/30/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
2501 CAPEHART RD
FAMILY MEDICINE RESIDENCY
OFFUTT AFB NE, 68113-1043, US
Phone (402) 294-2056
Fax
Business Location
2501 CAPEHART RD
FAMILY MEDICINE RESIDENCY
OFFUTT AFB NE, 68113-1043, US
Phone (402) 294-2056
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 125-056918
Remove 1003044421 NPI Number
 

According to our database, Dr. Richard E Gray D.O. NPI is 1003044421, taxonomy code is 207Q00000X and license number is 125-056918, license state is located at Illinois. Richard E Gray D.O. physically located at 2501 Capehart Rd, Offutt Afb NE, 68113-1043. NPI Number Richard E Gray D.O. has the Individual type.

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1003044421 NPI number is provided on an as is basis without warranty of any kind. 1003044421 is maintained by the National Plan & Provider Enumeration System. The contents of Richard E Gray D.O. are for informational purposes only.