Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Gray

Organization Specialist · NPI 1245553502

Shannon Gray is a Specialist in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010

Practice location Address checks out

1111 S Stapley Dr Ste 111
Mesa, AZ 85204-5059
Phone: (480) 398-1220
Fax: (480) 398-1230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 36286 (AZ)

Record details

NPI number1245553502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Gray — Administrator/Owner · (480) 983-4200
Other names Vista Medical Group
NPI enumeratedMarch 1, 2010
Last updated in NPPESMarch 1, 2010
Mailing address212 W Superstition Blvd, Suite 101, Apache Junction, AZ 85120-4127

Other providers in Mesa