Alan B Wray in Idaho Falls - Vascular & Interventional Radiology

Alan B Wray - NPI 1013987452

Alan B Wray is a Vascular & Interventional Radiology in Idaho Falls, Idaho. Alan B Wray practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Alan B Wray is 1013987452. The last update date is 2008-08-08.

Alan B Wray's current location address is Po Box 2671, Idaho Falls, Idaho. You can contact this provider via phone number 2085234906 and fax number 2085232025. The mailing address for Alan B Wray is Po Box 2671, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Alan B Wray
Address Po Box 2671, Idaho Falls, Idaho
Phone Number 2085234906
Fax Number 2085232025
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1013987452
Provider Enumeration Date 2006-01-26
Last Updated Date 2008-08-08

Provider Mailing Address Detail

Address Po Box 2671
City Idaho Falls
State Idaho (ID)
Post Code 834032671
Phone Number 2085234906
Fax Number 2085232025

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No M5030
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10165236 REGENCE BLUE SHIELD OF IDAHO
2795600 ID --
8418154 WA --
P00206340 RAILROAD MEDICARE
10150559 ID REGENCE BS OF IDAHO
1121800 ID MEDICARE PTAN
192804 WA LABOR & INDUSTRIES
1121801 ID MEDICARE PTAN
B4133 ID BLUE CROSS OF IDAHO

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FAQs about Alan B Wray

What is the unique provider identifier assigned to Alan B Wray?

The Alan B Wray has been issued the NPI (National Provider Identifier) 1013987452 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Alan B Wray is physically located?

The Alan B Wray is physically situated at the following address: Po Box 2671, Idaho Falls, ID, 834032671.

What is Alan B Wray's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Alan B Wray is Vascular & Interventional Radiology, and the taxonomy code that classifies this field of practice is 2085R0204X.

On what date did the Alan B Wray receive its 1013987452 assignment from the Centers for Medicare & Medicaid Services?

The Alan B Wray was assigned its 1013987452 by the Centers for Medicare & Medicaid Services on 2006-01-26.

When was the information pertaining to Alan B Wray most recently updated or revised?

The details related to Alan B Wray, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-08.

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