Individual
DR. ANGELA LORRAINE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1608 S J ST FL 1, TACOMA, WA 98405-4930
(253) 274-7501
(206) 246-0468
Mailing address
1608 S J ST FL 1, TACOMA, WA 98405-4930
(253) 274-7501
(206) 246-0468
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
2015-00395
NC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD60930373
WA
207VM0101X
Maternal & Fetal Medicine Physician
ME117908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010203600
—
FL
05
—
02565180
—
NY
01
—
140226CK
PREFERRED CARE
NY
01
—
14T9X
BCBS
FL
05
—
2137369
—
WA
01
—
7380613
AETNA
NY
01
—
P010232675
BLUE CHOICE
NY
01
—
P020232675
BLUE SHIELD OF ROCHESTER
NY
Enumeration date
07/04/2006
Last updated
12/03/2020
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