| NPI | 1548450034 |
|---|---|
| Doing Business As | DR. ADAM WRAY'S DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LISA RUDOLPH Pso Support Specialist 208-782-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2008-04-17 |