Individual
ROBERTA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1657
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0001657
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69054835
—
CO
Enumeration date
11/29/2005
Last updated
04/14/2026
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