PRESTON GRAY

PROVO, UT
NPI1386980597
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8501262-1206)
Enumeration Date2012-12-14
Last Update Date2012-12-14
Business Address
-- PRESTON GRAY PA
2230 NORTH UNIVERSITY PARKWAY #1A
PROVO, UT 84604
Phone number: 801-377-3413
Mailing Address
-- PRESTON GRAY PA
2230 NORTH UNIVERSITY PARKWAY #1A
PROVO, UT 84604
Phone number:
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