Individual
DR. DARRELL WESLEY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
37000 N GANTZEL RD, QUEEN CREEK, AZ 85140-7303
(480) 394-4066
(480) 394-4574
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(480) 500-2540
(813) 254-6440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10471
AZ
207P00000X
Emergency Medicine Physician
OS17103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10471
ARIZONA BOARD OF OSTEOPATHIC MEDICINE
AZ
01
—
OS17103
FLORIDA BOARD OF OSTEOPATHIC MEDICINE
FL
Enumeration date
04/10/2019
Last updated
09/05/2023
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