Organization
DAVID W RAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W RAY DO (OWNER PROVIDER)
(740) 439-4228
Entity
Organization
Contact information
Practice address
61353 SOUTHGATE RD STE 6, CAMBRIDGE, OH 43725-6607
(740) 439-4228
(740) 204-0211
Mailing address
61353 SOUTHGATE RD SUITE 6, CAMBRIDGE, OH 43725-9617
(740) 439-4228
(740) 204-0211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD1780
RR MEDICARE
OH
Enumeration date
11/16/2006
Last updated
09/14/2012
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