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Contact Information

HEATHER G GRAY, PA-C
29 BLACK COAL DRIVE
LANDER, WY82514
 Phone: 307-332-7300
 Fax: 307-332-7464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HEATHER G GRAY · (Female)

NPI # 1568645885
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/10/2007
Last updated 01/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 2492
  • WY License # 498
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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