Individual
WILLIAM BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 UNITY PLACE, LAFAYETTE, IN 47905-5774
(765) 446-2450
(765) 446-1083
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01048895
IN
2083X0100X
Occupational Medicine Physician
01048895
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200248280
—
IN
Enumeration date
07/21/2006
Last updated
06/16/2010
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