Organization · Type 2 NPI
Dale Gray M.d.,s.c.
Primary Care Clinic/Center · Rockford, IL
NPI number
1750807558
Active
Practice location
2720 Glenwood Ct
Rockford, IL 61101-3507
Fax (815) 962-0142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 036072289 (IL) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1750807558
Dale Gray M.d.,s.c.'s National Provider Identifier is 1750807558, issued on Aug 14, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Rockford, IL. The record was last updated on Aug 14, 2017.