Individual
ROGER GRAY
Active
Individual
ROGER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
370
WY
363AM0700X
Medical Physician Assistant
PA9102593
FL
Other
Enumeration date
08/31/2006
Last updated
09/25/2008
Update your record
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