Most Relevant Information
Provider Data
| NPI Number: | 1003044421 |
| Provider Name: | RICHARD E GRAY D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 125-056918 |
Most Important Dates
| Enumeration Date: | 06/24/2009 |
| Last Updated: | 08/14/2023 |
Provider Practice Location
755 SCOTT CIRCLE
JBPH-HICKAM
HI
962535399
Practice Location Phone/Fax
| Phone: | 8084486177 |
| Fax: |
Provider Mailing Location
755 SCOTT CIRCLE
JBPH-HICKAM
HI
96253
Provider Mailing Phone/Fax
| Phone: | 8084486177 |
| Fax: |
Suggested EMR
Family Practice EMR