IndividualActive
John Gray, MD
NPI 1265497333 · Anatomic Pathology & Clinical Pathology Physician · Twin Falls, ID
Provider details
- NPI number
- 1265497333
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-4393 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone: (208) 814-0364
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 553
Twin Falls, ID 83303-0553
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2020-07-20
- Certified
- 2020-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.