Individual
MR. SCOTT MATTHEW GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, PROSTHETICS, SAN DIEGO, CA 92161-0002
(858) 642-3082
(858) 642-1471
Mailing address
3350 LA JOLLA VILLAGE DR, PROSTHETICS, SAN DIEGO, CA 92161-0002
(858) 642-3082
(858) 642-1471
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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