Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON GRAY
Active Sole ProprietorSHANNON GRAY is a Primary Care Clinic healthcare provider located in MESA, Arizona. NPI 1750898714 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · MESA, AZ
Registration Details
- NPI Number
- 1750898714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2017 (8.6487543006342 yrs)
- Last Updated
- Dec 29, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
605 N GILBERT RDMESA, AZ, 852036629Browse AZ providers · Browse ZIP 85203
- Phone
- 4803981220
- Fax
- 4803981238
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.