Individual provider · Type 1 NPI
Alan James Gray, MD
Facial Plastic Surgery Physician · Eagle, ID
NPI number
1831651447
Active
Practice location
868 E Riverside Dr Ste 170
Eagle, ID 83616-6025
Fax (208) 203-8644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | 3271959 (ID) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
About NPI 1831651447
Alan James Gray, MD's National Provider Identifier is 1831651447, issued on Apr 2, 2019. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Eagle, ID. The record was last updated on Nov 3, 2025.