Organization · Type 2 NPI

Shannon Gray

Specialist · Mesa, AZ

NPI number 1245553502 Active

Practice location

1111 S Stapley Dr, Suite 111
Mesa, AZ 85204-5059

Call (480) 398-1220 Map

Fax (480) 398-1230

Mailing address

212 W Superstition Blvd, Suite 101
Apache Junction, AZ 85120-4127

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X36286 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245553502

Shannon Gray's National Provider Identifier is 1245553502, issued on Mar 1, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mesa, AZ. The record was last updated on Mar 1, 2010.