Gray, Robin St. Clair

Gray, Robin St. Clair is an individual health care provider with primary practice located at 975 Sereno Dr , Vallejo CA 94589-2441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gray, Robin St. Clair can be contacted via phone (707) 651-1000.

Contact Information

Primary practice address
975 Sereno Dr Vallejo CA 94589-2441
Phone: (707) 651-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A69581 California

Profile Details

NPI number 1679651483
LBN Legal business name Gray, Robin St. Clair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679651483 NPPES
California MEDICAID 00A695810

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