MEDICARE: MICHAEL E GRAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	M-8013	ID

General Provider Information

NPI Number	:	1932164126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL E GRAY MD

Provider Business Mailing Address
First Line	:	PO BOX 553
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83303-0553
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 POLE LINE RD W
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-5810
Country	:	US
Telephone Number	:	208-814-0362
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	11/23/2011

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1811668833 — ISABELLA BETTS PHARMD
Practice Location Address:

801 POLE LINE RD W
TWIN FALLS, ID
83301-5810

Practice Phone: 208-814-1000
Practice Fax:

1558353821 — SEAN ERIC MCMILLAN M.D.
Practice Location Address:

801 POLE LINE RD W STE 381
TWIN FALLS, ID
83301-5810

Practice Phone: 208-814-8150
Practice Fax: 208-732-3112

1619931227 — JEFFREY JAMES GENATO M.D.
Practice Location Address:

801 POLE LINE RD W STE 2595B
TWIN FALLS, ID
83301-5810

Practice Phone: 208-814-2462
Practice Fax: 208-814-2925

1265497333 — JOHN B GRAY MD
Practice Location Address:

801 POLE LINE RD W
TWIN FALLS, ID
83301-5810

Practice Phone: 208-814-0364
Practice Fax:

1356308282 — KARI L BROSE PA
Practice Location Address:

801 POLE LINE RD W , SUITE 3810
TWIN FALLS, ID
83301-5810

Practice Phone: 208-814-8500
Practice Fax: 208-814-8960

Directions to “ MICHAEL E GRAY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.