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Individual

DR. GARY GRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7019 HARPS MILL RD STE 200, RALEIGH, NC 27615-3248
(919) 850-1300
(919) 850-0012
Mailing address
7019 HARPS MILL RD STE 200, RALEIGH, NC 27615-3248
(919) 850-1300
(919) 850-0012

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2394
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0820U
BCBS PROVIDER ID
NC
01
2394
CHIROPRACTIC LICENSE #
NC
01
619120
ACN PROVIDER #
NC
Enumeration date
06/15/2006
Last updated
07/21/2022
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