Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Preston Gray, PA

Individual provider Physician Assistant · NPI 1386980597

Preston Gray, PA is a Physician Assistant in Provo, Utah. Qualified in 2012, 14 years ago. Practices with Alta Canyon Spine LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
14
Licensed in
UT
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2230 N University Pkwy #1A
Provo, UT 84604
Phone: (801) 377-3413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8501262-1206 (UT)

Record details

NPI number1386980597
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 14, 2012
Last updated in NPPESDecember 14, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Alta Canyon Spine Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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