person
Dr. Alan B Wray, MD
Vascular & Interventional Radiology Physician in Idaho Falls, Idaho
NPI 1013987452

Alan B Wray is a Vascular & Interventional Radiology Physician based in Idaho Falls, ID and is specialized in Vascular & Interventional Radiology. Alan B Wray practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Alan B Wray is 1013987452 and holds a License No. M5030 (Idaho).

The current practice location address for Alan B Wray is 3100 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-227-2600.

Location: 3100 Channing Way, Idaho Falls, ID, 83403-2671
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Provider Profile Details
NPI Number
1013987452
Provider Name
Alan B Wray
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3100 Channing Way, Idaho Falls, ID, 83403-2671
Phone Number
208-227-2600
Fax Number
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010165236 01 REGENCE BLUE SHIELD OF IDAHO
002795600 05 ID
8418154 05 WA
P00206340 01 RAILROAD MEDICARE
000010150559 01 ID REGENCE BS OF IDAHO
1121800 01 ID MEDICARE PTAN
0192804 01 WA LABOR & INDUSTRIES
1121801 01 ID MEDICARE PTAN
B4133 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
3100 Channing Way
City
State
Zip
83404-7533
Phone Number
208-227-2600
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Channing Way
City
State
Zip
83404-7533
Phone Number
208-227-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
M5030 (Idaho)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
M5030 (Idaho)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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