Individual
RICHARD E GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7308 BRIDGEPORT WAY W, SUITE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00027404
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD00027404
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020552
—
WA
01
—
346697
WA STATE LNI
WA
Enumeration date
03/30/2006
Last updated
01/05/2016
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