Provider Demographics
NPI:1437388857
Name:GRAY, ALLISON RACHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:RACHEL
Last Name:GRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 CENTURY CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9729
Mailing Address - Country:US
Mailing Address - Phone:720-738-8738
Mailing Address - Fax:720-862-2184
Practice Address - Street 1:275 CENTURY CIR STE 100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9729
Practice Address - Country:US
Practice Address - Phone:720-738-8738
Practice Address - Fax:720-862-2184
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2538082084N0400X
CO00548942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42873355Medicaid
CO026355OtherKAISER COMMERCIAL NUMBER
CO026355OtherKAISER COMMERCIAL NUMBER