MEDICARE: AARON MICHAEL 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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1639031487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON MICHAEL GRAY

Provider Business Mailing Address
First Line	:	8713 KNIGHT ST
Second Line	:
City	:	FORT BELVOIR
State	:	VA
Zip	:	22060-3301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8713 KNIGHT ST
Second Line	:
City	:	FORT BELVOIR
State	:	VA
Zip	:	22060-3301
Country	:	US
Telephone Number	:	719-244-1271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ AARON MICHAEL GRAY ” Practice Location

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