Individual
DOUGLAS S RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7236 S CENTRAL AVE, PHOENIX, AZ 85042-5425
(602) 276-5565
Mailing address
7236 S CENTRAL AVE, PHOENIX, AZ 85042-5425
(602) 276-5565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17928
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065749
—
AZ
Enumeration date
01/25/2006
Last updated
07/08/2007
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