Individual
JAMIE E GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
181 W MEADOW DR, SUITE 800 C/O DEB NOVAK CREDENTIALING, VAIL, CO 81657-5242
(970) 476-7600
Mailing address
PO BOX 1749, C/O DEB NOVAK CREDENTIALING, EDWARDS, CO 81632-1749
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20008329
WA
207R00000X
Internal Medicine Physician
Primary
44791
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88877027
—
CO
Enumeration date
05/27/2006
Last updated
08/27/2007
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