Grayson, Byron Kent

Grayson, Byron Kent is an individual health care provider with primary practice located at 12361 W Bola Dr Ste 109 , Surprise AZ 85378-9021. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Grayson, Byron Kent can be contacted via phone (623) 227-1000.

Contact Information

Primary practice address
12361 W Bola Dr Ste 109 Surprise AZ 85378-9021
Phone: (623) 227-1000
Fax: (623) 227-2000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2956 Arizona

Profile Details

NPI number 1346299021
LBN Legal business name Grayson, Byron Kent
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346299021 NPPES
Arizona MEDICAID 841909

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