Whalio Doctors

NPI 1013987452

Alan B Wray, MD

Practitioner Diagnostic Radiology Physician Idaho Falls, ID

Practice location

Address
3100 Channing Way, Idaho Falls, ID 83404-7533
Phone
(208) 227-2600
Mailing address
PO Box 2671, Idaho Falls, ID 83403-2671

Registered specialties (2)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence M5030 (ID)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence M5030 (ID)

Registry record

NPI
1013987452
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jan 2006
Record last updated
8 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.