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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA GRAY, PA-C

Active Sole Proprietor

AMANDA GRAY, PA-C is a Medical Physician Assistant healthcare provider located in MORENCI, Arizona. NPI 1912158320 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · MORENCI, AZ

Registration Details

NPI Number
1912158320
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2008 (17.840365864678 yrs)
Last Updated
Jun 5, 2013
Licenses
PA9104721 (FL)
PA2009-0040 (NM)
5389 (AZ)
Sole Proprietor
Yes

Practice Information

Address
401 BURRO ALY
MORENCI, AZ, 855409647
Browse AZ providers · Browse ZIP 85540
Phone
9288659184
Fax
9288657571
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in MORENCI, AZ

Name Credential NPI
CHARLES LOUIS SMERGLIA PA-C 1760472880
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.