Gray, Russell Austin

Gray, Russell Austin is an sole proprietor health care provider with primary practice located at 101 Bodin Cir , Fairfield CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Gray, Russell Austin can be contacted via phone (707) 423-3000.

Contact Information

Primary practice address
101 Bodin Cir Fairfield CA 94535-1809
Phone: (707) 423-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46904 Arizona
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 46904 Arizona

Profile Details

NPI number 1427341015
LBN Legal business name Gray, Russell Austin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2011
Last updated Sep 8th, 2022 - about 2 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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