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DR. JERROLD I GRAYSON M.D.

Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1134184476

Individual Registrant:
DR. JERROLD I GRAYSON M.D.
Gender: M

Location and contact information for practice:
650 SANITARIUM RD  DEER PARK, CA 94576-9714 US
Tel: 707-963-6430  Fax: --

Contact information for business:
PO BOX 3222  NAPA, CA 94558-0293 US
Tel: 707-261-7821  Fax: 707-256-3508

Registration Information:
NPI: 1134184476
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2085R0202XAllopathic & Osteopathic Physicians
Radiology
Diagnostic Radiology
CAG26478

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00G264780CA05




HEALTH CARE JOBS CA - Page 1



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