Charles Richard Gray in Colorado Springs - Physician Assistant
Charles Richard Gray - NPI 1316970163
Charles Richard Gray is a Physician Assistant in Colorado Springs, Colorado. Charles Richard Gray practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Richard Gray is 1316970163. The last update date is 2023-07-12.
Charles Richard Gray's current location address is 4790 Farthing Drive, Colorado Springs, Colorado. You can contact this provider via phone number 7199637579 and fax number 7195382961. The mailing address for Charles Richard Gray is 4790 Farthing Drive, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Richard Gray |
|---|---|
| Address | 4790 Farthing Drive, Colorado Springs, Colorado |
| Phone Number | 7199637579 |
| Fax Number | 7195382961 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1316970163 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2023-07-12 |
Provider Mailing Address Detail
| Address | 4790 Farthing Drive |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 80906 |
| Phone Number | 7199637579 |
| Fax Number | 7195382961 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2003002307 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 523191 | MO | HEALTHLINK | |
| 173190 | MO | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Charles Richard Gray's 1316970163?
The Charles Richard Gray's NPI (National Provider Identifier) Number is 1316970163. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Charles Richard Gray's specialty and taxonomy code?
The Charles Richard Gray's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Charles Richard Gray, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Richard Gray is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316970163 to Charles Richard Gray?
The Charles Richard Gray received its 1316970163 assignment from the Centers for Medicare & Medicaid Services on 2006-07-07.
When was the Charles Richard Gray's information last updated?
The Charles Richard Gray's information was last updated on 2023-07-12.