Individual
DR. JOEL W. RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 S MOUNT AUBURN RD, STE 320, CAPE GIRARDEAU, MO 63703-4911
(573) 339-0900
(573) 339-1851
Mailing address
150 S MOUNT AUBURN RD, STE 320, CAPE GIRARDEAU, MO 63703-4911
(573) 339-0900
(573) 339-1851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD113702
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208870204
—
MO
Enumeration date
06/23/2005
Last updated
01/28/2015
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