SHANNON GRAY

MESA, AZ
NPI1558365536
Entity TypeOrganization
Authorized ContactSHANNON GRAY
Administrator Owner
480-398-1228
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AZ  29241)
Additional Taxonomies261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2005-06-08
Last Update Date2017-12-29
Business Address
SHANNON GRAY
605 N GILBERT RD
MESA, AZ 85203-6629
Phone number: 480-398-1220
Mailing Address
SHANNON GRAY
605 N GILBERT RD
MESA, AZ 85203-6629
Phone number: 480-398-1220