Wray, Alan B

Wray, Alan B is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wray, Alan B can be contacted via phone (208) 227-2600.

Contact Information

Primary practice address
3100 Channing Way Idaho Falls ID 83404-7533
Phone: (208) 227-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M5030 Idaho
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X M5030 Idaho

Profile Details

NPI number 1013987452
LBN Legal business name Wray, Alan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Aug 8th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013987452 NPPES
Other 000010165236 REGENCE BLUE SHIELD OF IDAHO
MEDICAID 002795600 REGENCE BLUE SHIELD OF IDAHO
MEDICAID 8418154 REGENCE BLUE SHIELD OF IDAHO
Other P00206340 REGENCE BLUE SHIELD OF IDAHO
Other 000010150559 REGENCE BLUE SHIELD OF IDAHO
Other 1121800 REGENCE BLUE SHIELD OF IDAHO
Other 0192804 REGENCE BLUE SHIELD OF IDAHO
Other 1121801 REGENCE BLUE SHIELD OF IDAHO
Other B4133 REGENCE BLUE SHIELD OF IDAHO

Popular Providers