Larissa Faith Gray, PA-C | |
1522 E A St, Casper, WY 82601-2254 | |
(307) 234-6161 | |
Not Available |
Full Name | Larissa Faith Gray |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1522 E A St, Casper, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083344758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | PA1038 (Wyoming) | Secondary |
363A00000X | Physician Assistant | PA1038 (Wyoming) | Primary |
Mailing Address | Practice Location Address |
---|---|
Larissa Faith Gray, PA-C 4227 Mink, Casper, WY 82604-4509 Ph: (307) 234-6161 | Larissa Faith Gray, PA-C 1522 E A St, Casper, WY 82601-2254 Ph: (307) 234-6161 |
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