Organization
GREGORY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEROY ROBERT GREGROY (OWNER)
(253) 864-6519
Entity
Organization
Contact information
Practice address
11201 88TH AVE E, SUITE 120, PUYALLUP, WA 98373-3802
(253) 864-6519
(253) 864-0673
Mailing address
11201 88TH AVE E, SUITE 120, PUYALLUP, WA 98373-3802
(253) 864-6519
(253) 864-0673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003156
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135018
LABOR AND INDUSTRIES
WA
01
—
P00158090
MEDICARE RAILROAD
WA
Enumeration date
11/15/2006
Last updated
08/22/2020
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