Individual
DR. EVERETT B WRAY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1249 15TH STREET, SUITE 4000, HUNTINGTON, WV 25701
(304) 691-8500
(304) 691-8510
Mailing address
1249 15TH STREET, SUITE 4000, HUNTINGTON, WV 25701
(304) 691-8500
(304) 691-8510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10053
WV
207RC0000X
Cardiovascular Disease Physician
34094
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087197000
—
WV
Enumeration date
07/09/2006
Last updated
11/07/2012
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