Provider Demographics
NPI:1023052628
Name:GRAY, APRIL K (MD)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:K
Last Name:GRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1918 S LEMAY AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1294
Mailing Address - Country:US
Mailing Address - Phone:970-494-4531
Mailing Address - Fax:970-494-4538
Practice Address - Street 1:1918 S LEMAY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1294
Practice Address - Country:US
Practice Address - Phone:970-494-4531
Practice Address - Fax:970-494-4538
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO34556207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO73936006Medicaid
COC439238Medicare PIN
CO73936006Medicaid