Provider Demographics
NPI:1568631018
Name:BRAY, CHRISTOPHER JAMES (IDC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:BRAY
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PSC BOX 8023 BLDG 8029 BEAUFORT RD
Mailing Address - Street 2:NAVAL HEALTH CLINIC CHERRY POINT
Mailing Address - City:CHERRY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28533
Mailing Address - Country:US
Mailing Address - Phone:252-466-6706
Mailing Address - Fax:252-466-6570
Practice Address - Street 1:PSC BOX 8023 BLDG 8029 BEAUFORT RD
Practice Address - Street 2:NAVAL HEALTH CLINIC CHERRY POINT
Practice Address - City:CHERRY POINT
Practice Address - State:NC
Practice Address - Zip Code:28533
Practice Address - Country:US
Practice Address - Phone:252-466-6706
Practice Address - Fax:252-466-6570
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman