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

Preston Gray, PA

Individual provider Physician Assistant · NPI 1386980597

Preston Gray, PA is a Physician Assistant in Provo, Utah. Qualified in 2012, 14 years ago. Practices with Alta Canyon Spine LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
14
Licensed in
UT
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2230 N University Pkwy #1A
Provo, UT 84604
Phone: (801) 377-3413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8501262-1206 (UT)

Record details

NPI number1386980597
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 14, 2012
Last updated in NPPESDecember 14, 2012
Mailing address2230 North University Parkway #1a, Provo, UT 84604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Alta Canyon Spine Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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