Individual
MR. AUSTIN JOSEPH GRAYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 390-3925
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 390-3925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12641
NC
Other
Enumeration date
06/30/2022
Last updated
04/29/2024
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