Individual
TODD A GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-6500
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-6500
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
04-32887
KS
208800000X
Urology Physician
Primary
12115
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454325
—
ND
Enumeration date
07/28/2006
Last updated
12/28/2023
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