Individual
DR. DARREN DALE BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8600 NICOLLET AVE S, BLOOMINGTON, MN 55420-2824
(952) 541-2800
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50611
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023046828
—
MN
05
—
1851337356
—
CA
Enumeration date
06/29/2006
Last updated
01/20/2023
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