Individual
COREY WELCH 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
(406) 549-4067
Mailing address
3031 S RUSSELL ST, SUITE 3, MISSOULA, MT 59801-8523
(406) 549-4067
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
958
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40023
BLUE CROSS
MT
01
—
810414896
WORKERS COMP STAE FUND
MT
Enumeration date
01/10/2007
Last updated
09/30/2011
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