Organization
PRACTICE HEALTH PC
Active
Other names
Practice Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY GRAY D.C. (OWNER)
(406) 926-3000
Entity
Organization
Contact information
Practice address
825 W SPRUCE ST, SUITE B, MISSOULA, MT 59802-3947
(406) 926-3000
(406) 926-3003
Mailing address
825 W SPRUCE ST, SUITE B, MISSOULA, MT 59802-3947
(406) 926-3000
(406) 926-3003
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
958CHI
MT
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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