NPI 1134536352

Johnathan Gray

Practitioner Radiography Radiologic Technologist Firestone, CO

Practice location

Address: 5834 Twilight Ave, Firestone, CO 80504-6486
Phone: (303) 775-7794

Registered specialties

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence 525624 (CO)

Other Radiologic Technologist providers in Colorado →

Registry record

NPI: 1134536352
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2014
Record last updated: 21 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.