Provider Demographics
NPI:1962458844
Name:GRAY, WILLIAM JAMES III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:GRAY
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:689 SIERRA ROSE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511
Mailing Address - Country:US
Mailing Address - Phone:775-786-2100
Mailing Address - Fax:775-786-7706
Practice Address - Street 1:689 SIERRA ROSE DR
Practice Address - Street 2:SUITE B
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2060
Practice Address - Country:US
Practice Address - Phone:775-786-2100
Practice Address - Fax:775-786-7706
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2011-06-02
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Provider Licenses
StateLicense IDTaxonomies
NV11714207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100508665Medicaid
NV100508665Medicaid
NV150047Medicare UPIN