Gray, Todd

Gray, Todd is an sole proprietor health care provider with primary practice located at 268 Brookley Ave , Bolling Afb DC 20032. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gray, Todd can be contacted via phone (202) 404-3603.

Contact Information

Primary practice address
268 Brookley Ave Bolling Afb DC 20032
Phone: (202) 404-3603
Fax: (202) 404-1256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1962515684
LBN Legal business name Gray, Todd
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 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.

Request for update

Popular Providers