Individual
DR. DAVID WAYNE BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 N BEAUREGARD ST, SUITE 110, ALEXANDRIA, VA 22311-1736
(703) 212-7546
(703) 212-7282
Mailing address
1900 N BEAUREGARD ST, SUITE 110, ALEXANDRIA, VA 22311-1736
(703) 212-7546
(703) 212-7282
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
101249344
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
681531
MEDICARE, PTAN
VA
Enumeration date
12/15/2005
Last updated
11/09/2012
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