DR. Russell Lamar Gray, OD

NPI #1023678778 in Meridian, Idaho

Provider Information

NPI Number: 1023678778
Entity Type: Individual
Name: DR. Russell Lamar Gray, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 15, 2019
Last Updated: Dec 12, 2024

Practice Location

Address: 795 W OVERLAND RD
City: Meridian
State: Idaho
ZIP Code: 83642-6556
Phone: (208) 871-2936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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