John B Gray, MD | |
801 Pole Line Rd W, Twin Falls, ID 83301-5810 | |
(208) 814-0364 | |
Not Available |
Full Name | John B Gray |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 801 Pole Line Rd W, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265497333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M-4393 (Idaho) | Primary |
Entity Name | Valley Pathology Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124072798 PECOS PAC ID: 0244329175 Enrollment ID: O20071130000133 |
Mailing Address | Practice Location Address |
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John B Gray, MD Po Box 553, Twin Falls, ID 83303-0553 Ph: (208) 736-0887 | John B Gray, MD 801 Pole Line Rd W, Twin Falls, ID 83301-5810 Ph: (208) 814-0364 |
Dr. Jane Ann Bennett-munro, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 650 Addison Ave W, Twin Falls, ID 83303 Phone: 208-737-2035 | |
Michael E Gray, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-0362 | |
Dr. Kirk C Peterson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Department Of Pathology, Twin Falls, ID 83301 Phone: 208-814-0363 Fax: 208-814-0911 |