Organization
HILTON C RAY MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILTON C RAY MD (PRESIDENT)
(719) 336-9115
Entity
Organization
Contact information
Practice address
109 LEE AVE, SUITE15, LAMAR, CO 81052-3717
(719) 336-9115
Mailing address
109 LEE AVE, SUITE15, LAMAR, CO 81052-3717
(719) 336-9115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27527310
—
CO
01
—
DB5771
RAILROAD MEDICARE
CO
01
—
HI40452
BLUE SHIELD
CO
Enumeration date
06/03/2006
Last updated
10/31/2007
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