Doctor Name: | DR. SHARMANE MARIE GRAY |
NPI Number: | 1477539252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 01054888A |
Business Practice Address: | 1995 Errecart Blvd Suite 203 Elko, NV - 898018337 |
Business Phone Number: | 7757772061 |
Business Fax Number: | 7757772067 |
Mailing Address: | 1995 Errecart Blvd, Suite 203 ELKO |
State: | NV |
Postal Code: | 898018337 |
Phone Number: | 7757772061 |
Fax Number: | 7757772067 |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01054888A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |