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Dr. Bennett G Gray IV, MD
Diagnostic Radiology Physician in Irvine, California
NPI 1376637132

Bennett G Gray IV is a Diagnostic Radiology Physician based in Edwardsville, CA and is specialized in Diagnostic Radiology. Bennett G Gray IV practices in Irvine, CA and has the professional credentials of MD. The NPI Number for Bennett G Gray IV is 1376637132 and holds a License No. 036067155 (California).

The current practice location address for Bennett G Gray IV is 9821 Irvine Center Dr, Irvine, CA and can be reached out via phone at 800-741-7629.

Location: 9821 Irvine Center Dr, Irvine, CA, 62025-3147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376637132
Provider Name
Bennett G Gray IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9821 Irvine Center Dr, Irvine, CA, 62025-3147
Phone Number
800-741-7629
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200364700A 05 KS
institution
Provider Business Practice Location Address Details
Address
9821 Irvine Center Dr
City
Irvine
State
California
Zip
92618-4307
Phone Number
800-741-7629
Fax Number
person
Provider Business Mailing Address Details
Address
9821 Irvine Center Dr
City
Irvine
State
California
Zip
92618-4307
Phone Number
800-741-7629
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036067155 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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