Individual
BRIAN J. GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12277 DE PAUL DR, SUITE 305, BRIDGETON, MO 63044-2516
(314) 291-3399
(314) 291-5420
Mailing address
12277 DE PAUL DR, SUITE 305, BRIDGETON, MO 63044-2516
(314) 291-3399
(314) 291-5420
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006158
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35542
BLUE CROSS BLUE SHIELD
MO
Enumeration date
07/12/2006
Last updated
07/08/2007
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