Individual provider · Type 1 NPI

Charles Richard Gray, PA

Medical Physician Assistant · Colorado Springs, CO

NPI number 1316970163 Active

Practice location

3207 N Academy Blvd Ste 3500
Colorado Springs, CO 80917-5100

Call (719) 632-5700 Map

Mailing address

4790 Farthing Drive
Colorado Springs, CO 80906

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2003002307 (MO)
Medical Physician Assistant Primary 363AM0700XPA.0002579 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1316970163

Charles Richard Gray, PA's National Provider Identifier is 1316970163, issued on Jul 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 12, 2023.