Individual
MR. GREY CHARLES GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1644 BROADWATER AVE, BILLINGS, MT 59102
(406) 656-7000
(406) 656-8729
Mailing address
1644 BROADWATER AVE, BILLINGS, MT 59102
(406) 656-7000
(406) 656-8729
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
645
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000041261
BCBS
MT
01
—
004015053
WORK COMP
MT
Enumeration date
05/05/2006
Last updated
12/26/2013
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