Madison A Gray

NPI #1518435106 in Blanding, Utah

Provider Information

NPI Number: 1518435106
Entity Type: Individual
Name: Madison A Gray
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Nov 13, 2018
Last Updated: Nov 13, 2018

Practice Location

Address: 735 S 200 W STE 1
City: Blanding
State: Utah
ZIP Code: 84511-3909
Phone: (435) 678-2992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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