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Individual

MISTY LEE WRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
17001 SCIENCE DR STE 120, BOWIE, MD 20715-4330
(301) 860-1090
(301) 860-1095
Mailing address
17001 SCIENCE DR STE 120, BOWIE, MD 20715-4330
(301) 860-1090
(301) 860-1095

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101247113
VA
207W00000X
Ophthalmology Physician
Primary
33212
WV
207W00000X
Ophthalmology Physician
D0040969
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
912500100
MD
Enumeration date
07/31/2006
Last updated
10/03/2025
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