David Gray, DC | |
708 5th St Ste 4, Coralville, IA 52241-2339 | |
(319) 379-5801 | |
Not Available |
Full Name | David Gray |
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Gender | Male |
Speciality | Chiropractor |
Location | 708 5th St Ste 4, Coralville, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437873163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6004-12 (Wisconsin) | Secondary |
111N00000X | Chiropractor | 122064 (Iowa) | Primary |
Provider Name | Wellness Way Coralville Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477321206 PECOS PAC ID: 1052764479 Enrollment ID: O20240201000451 |
Mailing Address | Practice Location Address |
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David Gray, DC 708 5th St Ste 4, Coralville, IA 52241-2339 Ph: (319) 379-5801 | David Gray, DC 708 5th St Ste 4, Coralville, IA 52241-2339 Ph: (319) 379-5801 |
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