| Doctor Name: | INDIRA GREY |
| NPI Number: | 1407875487 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA17723 |
| Business Practice Address: | 4941 Olivehurst Ave Olivehurst, CA - 959614225 |
| Business Phone Number: | 5307434611 |
| Business Fax Number: | 5307434614 |
| Mailing Address: | Po Box A D, YUBA CITY |
| State: | CA |
| Postal Code: | 959921396 |
| Phone Number: | 5307513769 |
| Fax Number: | 5307511237 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 12/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA17723 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |