Individual
DAVID BRADLEY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
131 JPM RD STE A, LEWISBURG, PA 17837-9309
(570) 523-6115
(570) 523-6178
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006646E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011324990008
—
PA
01
—
136447F6K
MEDICARE
PA
Enumeration date
06/06/2006
Last updated
04/15/2022
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