Shannon Gray
LBN: Shannon Gray
Shannon Gray is an health care organization with primary practice located at 605 N Gilbert Rd , Mesa AZ 85203-6629. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Shannon Gray can be contacted via phone (480) 398-1220, or through Gray, Shannon via phone (480) 398-1228.
Contact Information
Primary practice address
605 N Gilbert Rd
Mesa AZ 85203-6629
Phone: (480) 398-1220
Fax: (480) 398-1230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29241 | Arizona |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1558365536 |
|---|---|
| LBN Legal business name | Shannon Gray |
| DBA Doing business as | |
| Authorized official | Gray, Shannon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Dec 29th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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