Individual
DOUGLAS D GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 KOMAS DR, #208, SALT LAKE CITY, UT 84108-1215
(801) 585-1212
(801) 585-9096
Mailing address
650 S. KOMAS DRIVE, SUITE 208, SALT LAKE CITY, UT 84108
(801) 585-1212
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1747471205
UT
Other
Enumeration date
09/20/2006
Last updated
07/19/2012
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