Individual
MR. STEPHEN ALAN DEGRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WESTWOOD MEDICAL PARK, UNIT 7, BLUEFIELD, VA 24605
(276) 322-5641
(276) 322-5189
Mailing address
WESTWOOD MEDICAL PARK, UNIT 7, BLUEFIELD, VA 24605
(276) 322-5641
(276) 322-5189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101039286
VA
207Q00000X
Family Medicine Physician
10867
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055063000
—
WV
05
—
005603781
—
VA
05
—
5603781
—
VA
Enumeration date
07/11/2006
Last updated
06/11/2008
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