Shannon Gray
Shannon Gray provides Specialist services 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 111Mesa, AZ 85204-5059 Not confirmed with CMS for 16 years — call before visiting
Phone: (480) 398-1220
Fax: (480) 398-1230
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1245553502 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shannon Gray — Administrator/Owner · (480) 983-4200 |
| Other names | Vista Medical Group |
| NPI enumerated | March 1, 2010 |
| Last updated in NPPES | March 1, 2010 |
| Mailing address | 212 W Superstition Blvd, Suite 101, Apache Junction, AZ 85120-4127 |
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