# MISTY LEE WRAY MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851723977
- **Authorized official:** MISTY LEE WRAY MD (OWNER)
- **Authorized official phone:** (443) 221-7775

## Contact information

- **Practice address:** 900 BESTGATE RD, SUITE 104, ANNAPOLIS, MD 21401-3089
- **Practice address phone:** (443) 221-7775
- **Mailing address:** 900 BESTGATE RD, SUITE 104, ANNAPOLIS, MD 21401-3089
- **Mailing address phone:** (443) 221-7775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D0040969 | MD | Yes |

## Other

- **Enumeration date:** 07/31/2013
- **Last updated:** 02/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D0040969 | MEDICAL LICENSE | MD |