Individual
DR. SCOT M GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1448 MARION WALDO RD, MARION, OH 43302-7422
(740) 386-6580
(740) 386-6586
Mailing address
1448 MARION WALDO RD, MARION, OH 43302-7422
(740) 386-6580
(740) 386-6586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3465
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334224
ANTHEM
OH
05
—
2484084
—
OH
Enumeration date
07/07/2006
Last updated
12/20/2012
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