Individual
BIDISHA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 213-6100
(928) 774-4808
Mailing address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 213-6100
(928) 774-4808
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37536
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292412
—
AZ
Enumeration date
12/18/2007
Last updated
12/30/2011
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