Individual provider · Type 1 NPI

Debra R. Ray, PA

Medical Physician Assistant · Pocatello, ID

NPI number 1730149865 Active

Practice location

500 S 11th Ave, Suite 305
Pocatello, ID 83201-4835

Call (208) 233-5864 Map

Mailing address

500 S 11th Ave Ste 305
Pocatello, ID 83201-4879

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-419 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1730149865

Debra R. Ray, PA's National Provider Identifier is 1730149865, issued on Mar 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Jul 11, 2007.