IndividualActive
Alan Gray, MD
NPI 1831651447 · Facial Plastic Surgery Physician · Eagle, ID
Provider details
- NPI number
- 1831651447
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3271959 (ID)
Practice location
868 E Riverside Dr Ste 170
Eagle, ID 83616-6025
Phone: (208) 918-2416
Fax: (208) 203-8644
Mailing address
868 E Riverside Dr Ste 170
Eagle, ID 83616-6025
Registry dates
- Enumerated
- 2019-04-02
- Last updated
- 2025-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.