Mark E Gray Dc Chiropractic Corp in Sunnyvale - Chiropractor

Mark E Gray Dc Chiropractic Corp - NPI 1376602094

Mark E Gray Dc Chiropractic Corp is a Chiropractor in Sunnyvale, California. Mark E Gray Dc Chiropractic Corp practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark E Gray Dc Chiropractic Corp is 1376602094. The last update date is 2007-10-12.

Mark E Gray Dc Chiropractic Corp's current location address is 150 E Fremont Ave, Sunnyvale, California. You can contact this provider via phone number 4087200941 and fax number 4089910966. The mailing address for Mark E Gray Dc Chiropractic Corp is 150 E Fremont Ave, Sunnyvale, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mark E Gray Dc Chiropractic Corp
Address 150 E Fremont Ave, Sunnyvale, California
Phone Number 4087200941
Fax Number 4089910966
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIROPRACT
Authorized Official Name Ota S Brian
Credentials DC
Telephone Number 4087200941

NPI Number Detail

NPI Number 1376602094
Provider Enumeration Date 2006-12-08
Last Updated Date 2007-10-12

Provider Mailing Address Detail

Address 150 E Fremont Ave
City Sunnyvale
State California (CA)
Post Code 94087
Phone Number 4087200941
Fax Number 4089910966

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 23084
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ40577Z CA BLUE SHIELD

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FAQs about Mark E Gray Dc Chiropractic Corp

What is the Mark E Gray Dc Chiropractic Corp's 1376602094?

The Mark E Gray Dc Chiropractic Corp's NPI (National Provider Identifier) Number is 1376602094. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mark E Gray Dc Chiropractic Corp is located?

The Mark E Gray Dc Chiropractic Corp is situated at the following address: 150 E Fremont Ave, Sunnyvale, CA, 94087.

What is the area of specialization for Mark E Gray Dc Chiropractic Corp, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mark E Gray Dc Chiropractic Corp is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

When was the Mark E Gray Dc Chiropractic Corp's 1376602094 issued?

The Mark E Gray Dc Chiropractic Corp's 1376602094 was issued on 2006-12-08.

As of what date were the details related to Mark E Gray Dc Chiropractic Corp most recently updated or revised?

The information pertaining to Mark E Gray Dc Chiropractic Corp, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-12.

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