Adam Wray is a Dermatology in Blackfoot, Idaho. Adam Wray practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Adam Wray is 1902952930. The last update date is 2008-04-17.
Adam Wray's current location address is 326 Poplar St, Blackfoot, Idaho. You can contact this provider via phone number 2087855801. The mailing address for Adam Wray is 326 Poplar St, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adam Wray |
|---|---|
| Address | 326 Poplar St, Blackfoot, Idaho |
| Phone Number | 2087855801 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1902952930 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2008-04-17 |
Provider Mailing Address Detail
| Address | 326 Poplar St |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 832211741 |
| Phone Number | 2087855801 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | O-0444 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| S6117 | ID | BLUE CROSS POC | |
| 10163015 | ID | REGENCE BLUE SHIELD BLKFT | |
| 10163016 | ID | REGENCE BLUE SHIELD POC | |
| 315520 | ID | ALTIUS | |
| S6116 | ID | BLUE CROSS BLKFT |
Post Comment/ Review Below
What is the unique identifier code issued to Adam Wray by the Centers for Medicare & Medicaid Services (CMS)?
The Adam Wray has been assigned the NPI (National Provider Identifier) 1902952930. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Adam Wray's physical address?
The Adam Wray is physically located at 326 Poplar St, in the city of Blackfoot, ID, with the postal code 832211741.
What is Adam Wray's area of expertise and its corresponding taxonomy classification?
The Adam Wray's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Adam Wray receive the assignment of its 1902952930 from the Centers for Medicare & Medicaid Services?
The Adam Wray was issued its 1902952930 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date were the details pertaining to Adam Wray last refreshed?
The information related to the Adam Wray, including its address, specialty, and other relevant details, was last updated on 2008-04-17.