LARISSA FAITH GRAY PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1083344758- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1522 E A ST, CASPER, WY, 826012254
- Phone
- (307) 234-6161
Specialties & Taxonomies
Family Medicine
License: WY #PA1038
Physician Assistant
Primary License: WY #PA1038