Individual
MR. JEFFERSON IRVING GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
149 N GIBSON RD STE H, HENDERSON, NV 89014-6763
(702) 558-6275
(702) 856-3198
Mailing address
8407 AMHERST VALLEY ST, LAS VEGAS, NV 89123-2474
(702) 616-1563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
478
NV
Other
Enumeration date
03/15/2007
Last updated
01/19/2010
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