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Michael Gray, PA
Medical Physician Assistant in San Jose, California
NPI 1659481869

Michael Gray is a Medical Physician Assistant based in San Jose, CA and is specialized in Medical. Michael Gray practices in San Jose, CA and has the professional credentials of PA. The NPI Number for Michael Gray is 1659481869 and holds a License No. PA11821 (California).

The current practice location address for Michael Gray is 625 Lincoln Ave, San Jose, CA and can be reached out via phone at 408-871-5260 and via fax at 408-871-3237.

Location: 625 Lincoln Ave, San Jose, CA, 95126-3518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659481869
Provider Name
Michael Gray
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
625 Lincoln Ave, San Jose, CA, 95126-3518
Phone Number
408-871-5260
Fax Number
408-871-3237
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0PA118210 05 CA
institution
Provider Business Practice Location Address Details
Address
625 Lincoln Ave
City
San Jose
State
California
Zip
95126-3785
Phone Number
408-871-5260
Fax Number
408-871-3237
person
Provider Business Mailing Address Details
Address
625 Lincoln Ave
City
San Jose
State
California
Zip
95126-3785
Phone Number
408-871-5260
Fax Number
408-871-3237
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA11821 (California)
Definition
Definition to come...
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