Individual
BRIAN ALLEN WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
9931 SNIPE LN, NEW KENT, VA 23124-2974
(804) 543-9064
Mailing address
9931 SNIPE LN, NEW KENT, VA 23124-2974
(804) 543-9064
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0136000240
VA
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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