Individual
DEETTA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., FAAD, FRCPC
Contact information
Practice address
1515 116TH AVE NE, STE 307, BELLEVUE, WA 98004-3811
(425) 999-2628
(425) 646-2965
Mailing address
PO BOX 3418, KIRKLAND, WA 98083-3418
(425) 999-2628
(425) 646-2965
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
025209 MD00035417
WA
Other
Enumeration date
02/07/2007
Last updated
02/26/2014
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