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Individual

DR. DAVID E FRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
10803 E STATE ROUTE 350 STE B, RAYTOWN, MO 64138-2383
(816) 356-9313
(816) 356-8625
Mailing address
10803 E STATE ROUTE 350, SUITE B, RAYTOWN, MO 64138-2313
(816) 356-9313
(816) 356-8625

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE 003966
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13538011
BLUE CROSS AND BLUE SHIEL
MO
Enumeration date
02/14/2007
Last updated
12/16/2020
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