Individual
DR. ROBERT BRADLEY WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2665 E. PARLEYS WAY, #204, SALT LAKE CITY, UT 84109-1672
(801) 433-4521
(801) 433-4521
Mailing address
2665 E. PARLEYS WAY, #204, SALT LAKE CITY, UT 84109-1672
(801) 433-4521
(801) 433-4521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
149852-1205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
149852-1205
UT
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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