| Dr Alan B Wray, MD | |
|
3100 Channing Way, Idaho Falls, ID 83404-7533 | |
| (208) 227-2600 | |
| Not Available |
| Full Name | Dr Alan B Wray |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3100 Channing Way, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013987452 | NPI | - | NPPES |
| 000010165236 | Other | REGENCE BLUE SHIELD OF IDAHO | |
| 002795600 | Medicaid | ID | |
| 8418154 | Medicaid | WA | |
| P00206340 | Other | RAILROAD MEDICARE | |
| 000010150559 | Other | ID | REGENCE BS OF IDAHO |
| 1121800 | Other | ID | MEDICARE PTAN |
| 0192804 | Other | WA | LABOR & INDUSTRIES |
| 1121801 | Other | ID | MEDICARE PTAN |
| B4133 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | M5030 (Idaho) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | M5030 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alan B Wray, MD Po Box 2671, Idaho Falls, ID 83403-2671 Ph: (208) 523-4906 | Dr Alan B Wray, MD 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 227-2600 |
Dr. James W Taylor, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Dr. Neal J Clinger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2600 | |
Dr. Michael Sean Enslow, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
James P Edlin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Dr. Roderick Jack Willmore, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Brett Scott Talbot, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 |