Individual
MR. MATTHEW GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
450 HANFORD ST, RICHLAND, WA 99354-1622
(509) 967-6500
Mailing address
2895 PAULING AVE, RICHLAND, WA 99354-2833
(509) 929-3114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160590103
WA
Other
Enumeration date
09/23/2017
Last updated
09/23/2017
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