| David W Ray Llc | |
|
61353 Southgate Rd Ste 6 Cambridge OH 43725-6607 | |
| (740) 439-4228 | |
| (740) 204-0211 |
| Full Name | David W Ray Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 61353 Southgate Rd Ste 6, Cambridge, Ohio |
| Authorized Official Name and Position | David W Ray (OWNER PROVIDER) |
| Authorized Official Contact | 7404394228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David W Ray Llc 61353 Southgate Rd Suite 6 Cambridge OH 43725-9617 Ph: (740) 439-4228 | David W Ray Llc 61353 Southgate Rd Ste 6 Cambridge OH 43725-6607 Ph: (740) 439-4228 |
| NPI Number | 1942373170 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 09/14/2012 |
| Medicare PECOS PAC ID | 6103865795 |
|---|---|
| Medicare Enrollment ID | O20050503000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942373170 | NPI | - | NPPES |
| DD1780 | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David W Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518030733 PECOS PAC ID: 7810936408 Enrollment ID: I20050525001277 |
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