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Individual

ARIELLE R. GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2959 SISKIYOU BLVD, MEDFORD, OR 97504-8131
(541) 773-3636
Mailing address
2959 SISKIYOU BLVD, MEDFORD, OR 97504-8131
(801) 587-0928

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
12762250-1205
UT
207N00000X
Dermatology Physician
MD214429
OR
207ND0101X
MOHS-Micrographic Surgery Physician
12762250-1205
UT
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD214429
OR
207ND0900X
Dermatopathology Physician
12762250-1205
UT
207ND0900X
Dermatopathology Physician
MD214429
OR
207NS0135X
Procedural Dermatology Physician
MD214429
OR

Other

Enumeration date
05/02/2018
Last updated
06/24/2023
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