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Individual

DR. DANIEL PAUL GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12101 CAROL LN, FREDERICKSBURG, VA 22407-6101
(540) 785-7810
(540) 786-3099
Mailing address
PO BOX 1460, FREDERICKSBURG, VA 22402-1460
(540) 786-2100
(540) 786-0677

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101247115
VA
207Q00000X
Family Medicine Physician
MT190089
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811166366
VA
Enumeration date
02/28/2008
Last updated
08/08/2012
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