Provider Demographics
NPI:1275717563
Name:SUZANNE CURTIS GRAY MD
Entity Type:Organization
Organization Name:SUZANNE CURTIS GRAY MD
Other - Org Name:HIGH DESERT RHEUMATOLOGY & INTERNAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-325-8882
Mailing Address - Street 1:228 N SCHWARTZ AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-5547
Mailing Address - Country:US
Mailing Address - Phone:505-325-8882
Mailing Address - Fax:505-324-2259
Practice Address - Street 1:228 N SCHWARTZ AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-5547
Practice Address - Country:US
Practice Address - Phone:505-325-8882
Practice Address - Fax:505-324-2259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty