Preston Gray, PA

NPI #1386980597 in Provo, Utah

Provider Information

NPI Number: 1386980597
Entity Type: Individual
Name: Preston Gray, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 14, 2012
Last Updated: Dec 14, 2012

Practice Location

Address: 2230 NORTH UNIVERSITY PARKWAY #1A
City: Provo
State: Utah
ZIP Code: 84604
Phone: (801) 377-3413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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