Individual provider · Type 1 NPI
Scharazard Lee Gray, MD
Addiction Medicine (Family Medicine) Physician · International Falls, MN
NPI number
1447332895
Active
Practice location
523 3rd Ave
International Falls, MN 56649-2421
Fax (888) 972-4098
Mailing address
3039 County Road 127
International Falls, MN 56649-8724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD-427277 (PA) |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 122450 (FL) |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 7910 (SD) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 65022 (MN) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1447332895
Scharazard Lee Gray, MD's National Provider Identifier is 1447332895, issued on Oct 19, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in International Falls, MN. The record was last updated on Feb 2, 2022.