Individual
DAVID CHARLES GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3031 S RUSSELL ST, SUITE 3, MISSOULA, MT 59801-8523
(405) 549-4067
(406) 327-6706
Mailing address
3031 S RUSSELL ST, SUITE 3, MISSOULA, MT 59801-8523
(405) 549-4067
(406) 327-6706
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
309
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00092-3
WORKERS COMP
MT
01
—
40240
BLUE CROSS BLUE SHIELD
MT
Enumeration date
01/25/2007
Last updated
09/30/2011
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