Individual
MR. BARTU C GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5205 W THUNDERBIRD RD APT 2174, GLENDALE, AZ 85306-4859
(480) 799-9484
Mailing address
5205 W THUNDERBIRD RD APT 2174, GLENDALE, AZ 85306-4859
(480) 799-9484
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
0000000000
—
Enumeration date
05/08/2020
Last updated
05/08/2020
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