Provider Demographics
NPI:1124101969
Name:CRAIG-GRAY, ROBERT WELDON (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WELDON
Last Name:CRAIG-GRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 RING BILL LOOP
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7171
Mailing Address - Country:US
Mailing Address - Phone:301-218-6136
Mailing Address - Fax:
Practice Address - Street 1:1075 W. PERIMETER RD
Practice Address - Street 2:79TH AMDS/SGPF
Practice Address - City:ANDREWS AFB
Practice Address - State:MD
Practice Address - Zip Code:20762-0000
Practice Address - Country:US
Practice Address - Phone:240-857-5282
Practice Address - Fax:240-857-3073
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055793A207QA0505X, 2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine