Individual
MR. TODD GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
268 BROOKLEY AVE, BOLLING AFB, DC 20032
(202) 404-3603
(202) 404-1256
Mailing address
1305 RIVER BIRCH PL, ACCOKEEK, MD 20607-3294
(301) 283-5475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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