Doctor Name: | DR. ROBERT WELDON CRAIG-GRAY |
NPI Number: | 1124101969 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01055793A |
Business Practice Address: | 1075 W. Perimeter Rd 79th Amds/sgpf Andrews Afb, MD - 207620000 |
Business Phone Number: | 2408575282 |
Business Fax Number: | 2408573073 |
Mailing Address: | 1210 Ring Bill Loop, UPPER MARLBORO |
State: | MD |
Postal Code: | 207747171 |
Phone Number: | 3012186136 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 01055793A |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |