Russ, Andrew Wray

Russ, Andrew Wray is an individual health care provider with primary practice located at 124 E Olive Ave , Redlands CA 92373-5250. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Russ, Andrew Wray can be contacted via phone (909) 798-9403.

Contact Information

Primary practice address
124 E Olive Ave Redlands CA 92373-5250
Phone: (909) 798-9403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 01024357 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA53942 California

Profile Details

NPI number 1457895054
LBN Legal business name Russ, Andrew Wray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2016
Last updated Dec 15th, 2016 - about 9 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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