Gray, Timothy Patrick
Gray, Timothy Patrick is an individual health care provider with primary practice located at 3838 Sherman Dr Suite 2, Riverside CA 92503-4001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Gray, Timothy Patrick can be contacted via phone (951) 354-7270.Contact Information
Primary practice address
3838 Sherman Dr Suite 2
Riverside CA 92503-4001
Phone: (951) 354-7270
Fax: (951) 354-0625
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | G54671 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A52768 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | G54671 | California |
Profile Details
NPI number | 1972565877 |
---|---|
LBN Legal business name | Gray, Timothy Patrick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 5th, 2006 |
Last updated | Jul 2nd, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972565877 | NPPES |
California | MEDICAID | 00G5467100 |
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