MR. Jefferson Irving Grey, PA-C

NPI #1164556825 in Henderson, Nevada

Provider Information

NPI Number
1164556825
Entity Type
Individual
Name
MR. Jefferson Irving Grey, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 15, 2007
Last Updated
Jan 19, 2010

Practice Location

Address
149 N GIBSON RD STE H
State
Nevada
ZIP Code
89014-6763
Phone
(702) 558-6275

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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