Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ADAM WRAY, DO
ActiveDR. ADAM WRAY, DO is a Dermatology healthcare provider located in BLACKFOOT, Idaho. NPI 1902952930 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BLACKFOOT, ID
Registration Details
- NPI Number
- 1902952930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2007 (19.537062091546 yrs)
- Last Updated
- Jul 26, 2024
- License
-
O-0444 (ID)
Practice Information
- Address
-
326 POPLAR ST STE 101BLACKFOOT, ID, 832211741Browse ID providers · Browse ZIP 83221
- Phone
- 9862750003
- Fax
- 9862750005
- Primary Specialty
-
Dermatology
207N00000X
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.