Organization
GRAY CHIROPRACTIC HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GRAY D.C. (OWNER)
(907) 563-7700
Entity
Organization
Contact information
Practice address
360 E INTERNATIONAL AIRPORT RD STE 4, ANCHORAGE, AK 99518-1217
(907) 563-7700
(907) 563-7710
Mailing address
360 E INTERNATIONAL AIRPORT RD STE 4, ANCHORAGE, AK 99518-1217
(907) 563-7700
(907) 563-7710
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
469
AK
111N00000X
Chiropractor
Primary
482
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K163271
MEDICARE PTAN
AK
Enumeration date
02/29/2012
Last updated
03/05/2012
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