NPI 1588789382

Terry Glenn Gray, SFIDC

Practitioner Independent Duty Corpsman Portsmouth, NH

Practice location

Address: One Ayers Circle, Building H-1, Portsmouth, NH 03904-5000
Phone: (207) 438-4940
Fax: (207) 498-1987
Mailing address: 263 Witchtrot Rd, South Berwick, ME 03908-2167

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in New Hampshire →

Registry record

NPI: 1588789382
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2007
Record last updated: 8 Jul 2007

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.