Gray, Gordon Matthew

Gray, Gordon Matthew is an individual health care provider with primary practice located at 2825 Stockyard Rd Bldg I-200, Missoula MT 59808-1503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gray, Gordon Matthew can be contacted via phone (406) 728-8420.

Contact Information

Primary practice address
2825 Stockyard Rd Bldg I-200 Missoula MT 59808-1503
Phone: (406) 728-8420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 7558 Montana

Profile Details

NPI number 1568451680
LBN Legal business name Gray, Gordon Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 8th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568451680 NPPES
Idaho MEDICAID 805002900
Idaho MEDICAID 0104520

Popular Providers