Shannon Gray

NPI #1558365536 in Mesa, Arizona

Provider Information

NPI Number
1558365536
Entity Type
Organization
Organization Name
Shannon Gray
Primary Specialty
Internal Medicine
Enumeration Date
Jun 8, 2005
Last Updated
Dec 29, 2017

Practice Location

Address
605 N GILBERT RD
City
Mesa
State
Arizona
ZIP Code
85203-6629
Phone
(480) 398-1220

Authorized Official

Name
SHANNON GRAY
Title
ADMINISTRATOR OWNER
Phone
(480) 398-1228

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Internal Medicine

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