Individual
DR. DEVIN LYNN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4135 S POWER RD, STE 117, MESA, AZ 85212-3624
(480) 892-2456
(480) 892-2458
Mailing address
2558 S RIATA CT, GILBERT, AZ 85295-5948
(480) 892-2456
(480) 892-2458
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22813
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z0654
HEAL;THNET AZ
AZ
05
—
339110
—
AZ
01
—
AZ0891430
BCBS AZ
AZ
05
—
F11833
—
AZ
01
—
P00091989
RR MEDICARE
AZ
Enumeration date
07/11/2006
Last updated
01/29/2013
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