BRADLEY WAYNE GRAY

SOUTH LAKE TAHOE, CA
NPI1851785976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AR  E-10753)
Additional Taxonomies208M00000X Hospitalist
(Licence: AR  E-10753)
Enumeration Date2015-03-26
Last Update Date2020-08-06
Business Address
DR. BRADLEY WAYNE GRAY M.D.
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150-7026
Phone number: 530-541-3420
Mailing Address
DR. BRADLEY WAYNE GRAY M.D.
1808 W MAIN ST
RUSSELLVILLE, AR 72801-2724
Phone number: 479-964-4178