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NPI Code Detail

MEDICARE: AMY GRAY

MEDICARE:   AMY  GRAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174H00000XHealth Educator

General Provider Information

NPI Number : 1629571716
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY GRAY
Provider Business Mailing Address
First Line : 14969 E WESLEY AVE
Second Line :
City : AURORA
State : CO
Zip : 80014-2541
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2625 S COLORADO BLVD
Second Line :
City : DENVER
State : CO
Zip : 80222-5910
Country : US
Telephone Number : 720-524-2750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2018
Last Update Date : 03/14/2018

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Directions to “ AMY GRAY ” Practice Location

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