Wray Dermatology

LBN: Wray Dermatology
Wray Dermatology is an health care organization with primary practice located at 1350 Parkway Dr Ste 1B , Blackfoot ID 83221-1603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Wray Dermatology can be contacted via phone (208) 680-4219, or through Wray, Adam via phone (208) 680-4219.

Contact Information

Primary practice address
1350 Parkway Dr Ste 1B Blackfoot ID 83221-1603
Phone: (208) 680-4219
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wray, Adam Doctor of Osteopathy (DO)
Phone: (208) 680-4219

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1457110298
LBN Legal business name Wray Dermatology
DBA Doing business as
Authorized official Wray, Adam Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2024
Last updated Mar 14th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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