Jon R Gray Chiropractic, LLC

NPI #1881939171 in Boise, Idaho

Provider Information

NPI Number: 1881939171
Entity Type: Organization
Organization Name: Jon R Gray Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 28, 2012
Last Updated: Nov 28, 2012

Practice Location

Address: 13125 W PERSIMMON LN STE 175
City: Boise
State: Idaho
ZIP Code: 83713-2081
Phone: (208) 854-0600

Authorized Official

Name: JON GRAY, DC
Title: CEO
Phone: (208) 854-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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