Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL AUSTIN GRAY, MD
Active Sole ProprietorDR. RUSSELL AUSTIN GRAY, MD is a 207PE0005X healthcare provider located in FAIRFIELD, California. NPI 1427341015 is currently active in the NPPES registry. Verify at CMS.
207PE0005X · FAIRFIELD, CA
Registration Details
- NPI Number
- 1427341015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2011 (15.239386992404 yrs)
- Last Updated
- Sep 8, 2022
- Licenses
-
46904 (AZ)46904 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 BODIN CIRFAIRFIELD, CA, 945351809Browse CA providers · Browse ZIP 94535
- Phone
- 7074233000
- Primary Specialty
-
207PE0005X
207PE0005X
- Additional Specialty
- 207PE0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.