Individual
JESSE PHILLIP WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
JBER EMERGENCY DEPARTMENT, 5955 ZEAMER AVE, ELMENDORF AFB, AK 99506
(870) 514-6421
Mailing address
JBER EMERGENCY DEPARTMENT, 5955 ZEAMER AVE, ELMENDORF AFB, AK 99506
(907) 580-5556
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
175597
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1726717
—
AK
Enumeration date
03/13/2018
Last updated
01/20/2024
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