Organization
DAVID J GRAY PC
Active
Other names
Alabama Aesthetic Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOSEPH GRAY (OWNER)
(256) 265-7957
Entity
Organization
Contact information
Practice address
910 ADAMS ST SE, SUITE 130, HUNTSVILLE, AL 35801-3730
(256) 265-7957
(256) 265-7965
Mailing address
910 ADAMS ST SE, SUITE 130, HUNTSVILLE, AL 35801-3730
(256) 265-7957
(256) 265-7965
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25672
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51519686
MEDICARE
AL
05
—
51519686
—
AL
Enumeration date
11/14/2007
Last updated
11/14/2007
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