Organization
WRAY DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WRAY DO (OWNER)
(986) 275-0003
Entity
Organization
Contact information
Practice address
1355 PARKWAY DR STE A, BLACKFOOT, ID 83221-1656
(986) 275-0003
(986) 275-0005
Mailing address
1355 PARKWAY DR STE A, BLACKFOOT, ID 83221-1656
(986) 275-0003
(986) 275-0005
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
05/06/2026
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