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Mr. Gregory Robert Obray, PA-C
Surgical Physician Assistant in Lewiston, Idaho
NPI 1083770192

Gregory Robert Obray is a Surgical Physician Assistant based in Lewiston, ID and is specialized in Surgical. Gregory Robert Obray practices in Lewiston, ID and has the professional credentials of PA-C. The NPI Number for Gregory Robert Obray is 1083770192 and holds a License No. 00034506 (Idaho).

The current practice location address for Gregory Robert Obray is 320 Warner Dr, Lewiston, ID and can be reached out via phone at 208-743-3523.

Location: 320 Warner Dr, Lewiston, ID, 83501-4441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083770192
Provider Name
Gregory Robert Obray
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
320 Warner Dr, Lewiston, ID, 83501-4441
Phone Number
208-743-3523
Fax Number
Provider Enumeration Date
12/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8204851 05 WA
805208800 05 ID
institution
Provider Business Practice Location Address Details
Address
320 Warner Dr
City
Lewiston
State
Idaho
Zip
83501
Phone Number
208-743-3523
Fax Number
person
Provider Business Mailing Address Details
Address
320 Warner Dr
City
Lewiston
State
Idaho
Zip
83501
Phone Number
208-743-3523
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
00034506 (Washington)
Definition
Definition to come...
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