JON R GRAY CHIROPRACTIC LLC NPI 1881939171

NPI Information

JON R GRAY CHIROPRACTIC, LLC is a chiropractor in Boise, ID. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. JON R GRAY CHIROPRACTIC, LLC NPI is 1881939171. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13125 W PERSIMMON LN STE 175
BOISE, ID
ZIP 83713-081
Phone: (208) 854-0600
Fax: (208) 375-5545

The provider's authorized official is Jon Gray .
The authorized official title is Ceo and has the following contact phone number (208) 854-0600.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 11/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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