NPI 1720577117 · live from the CMS NPI Registry
Arielle R. Gray, MD
Dermatology, MOHS-Micrographic Surgery in Medford, OR. National Provider Identifier 1720577117, active.
NPI record
| NPI | 1720577117 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 2959 Siskiyou Blvd, Medford, OR 97504 |
| Practice phone | 541-773-3636 |
| Enumerated | May 2, 2018 |
| Last updated | June 24, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 12762250-1205 (UT) |
| Dermatology | 207N00000X | MD214429 (OR) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 12762250-1205 (UT) |
| Dermatology, Dermatopathology | 207ND0900X | 12762250-1205 (UT) |
| Dermatology, Dermatopathology | 207ND0900X | MD214429 (OR) |
| Dermatology, Procedural Dermatology | 207NS0135X | MD214429 (OR) |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | MD214429 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.