Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 110344 | MO |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 18720 | KS |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 19027 | NE |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 46858 | CO |
NPI | 1235134453 |
---|---|
Provider Name | Dr. Scott E Gray |
First Address | Grand Junction, CO 81506-1953 |
Second Address | Grand Junction, CO 81506-1953 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 16/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100271580H | (05) | KS |
1235134453 | (05) | UT |
64454274 | (05) | CO |
B69432 | (02) | KS |