Larissa Faith Gray, PA-C

NPI #1083344758 in Casper, Wyoming

Provider Information

NPI Number: 1083344758
Entity Type: Individual
Name: Larissa Faith Gray, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 14, 2022
Last Updated: Feb 25, 2023

Practice Location

Address: 1522 E A ST
City: Casper
State: Wyoming
ZIP Code: 82601-2254
Phone: (307) 234-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X	Primary

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