Shannon Gray is a Multi-specialty in Mesa, Arizona. Shannon Gray practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Shannon Gray is 1558365536. The last update date is 2017-12-29.
Shannon Gray's current location address is 605 N Gilbert Rd, Mesa, Arizona. You can contact this provider via phone number 4803981220 and fax number 4803981230. The mailing address for Shannon Gray is 605 N Gilbert Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shannon Gray |
|---|---|
| Address | 605 N Gilbert Rd, Mesa, Arizona |
| Phone Number | 4803981220 |
| Fax Number | 4803981230 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Gray Shannon |
| Telephone Number | 4803981228 |
NPI Number Detail
| NPI Number | 1558365536 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2017-12-29 |
Provider Mailing Address Detail
| Address | 605 N Gilbert Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 8520366290 |
| Phone Number | 4803981220 |
| Fax Number | 4803981230 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon Gray?
The Shannon Gray has been issued the NPI (National Provider Identifier) 1558365536 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Shannon Gray's physical address?
The Shannon Gray is physically located at 605 N Gilbert Rd, in the city of Mesa, AZ, with the postal code 8520366290.
What is Shannon Gray's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon Gray is Multi-specialty, and the taxonomy code that classifies this field of practice is 261Qm1300X.
When did the Shannon Gray receive its 1558365536?
The Shannon Gray was issued its 1558365536 on 2005-06-08, which is the date when the organization was assigned this unique identifier.
As of what date were the Shannon Gray's details last updated?
The information pertaining to the Shannon Gray, including its address, specialty, and other details, was most recently updated on 2017-12-29.