Healthcare Provider Details

I. General information

NPI: 1245209394
Provider Name (Legal Business Name): WILLIAM A WRAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 06/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E. FARWELL RD SUITE 206
SPOKANE WA
99218
US

IV. Provider business mailing address

309 E. FARWELL RD SUITE 206
SPOKANE WA
99218
US

V. Phone/Fax

Practice location:
  • Phone: 509-484-4591
  • Fax: 509-484-7882
Mailing address:
  • Phone: 509-484-4591
  • Fax: 509-484-7882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number00030912MD
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: