| Jon R Gray Chiropractic, Llc | |
|
13125 W Persimmon Ln Ste 175, Boise, ID 83713-2081 | |
| (208) 854-0600 | |
| (208) 375-5545 |
| Full Name | Jon R Gray Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 13125 W Persimmon Ln Ste 175, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881939171 | NPI | - | NPPES |
| 1558377168 | Medicaid | ID | |
| 1674447 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-931 (Idaho) | Primary |
| Provider Name | Jon R Gray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558377168 PECOS PAC ID: 0941114565 Enrollment ID: I20031118000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon R Gray Chiropractic, Llc 13125 W Persimmon Ln Ste 175, Boise, ID 83713-2081 Ph: (208) 854-0600 | Jon R Gray Chiropractic, Llc 13125 W Persimmon Ln Ste 175, Boise, ID 83713-2081 Ph: (208) 854-0600 |
Johnnie R Clemans, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7805 Ustick Rd, Boise, ID 83704 Phone: 208-375-7851 Fax: 208-375-1905 | |
Dr. Edward Reza Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8631 W Ardene St, Boise, ID 83709 Phone: 208-629-1904 Fax: 208-545-1846 | |
Century Clinic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3062 N Five Mile Rd, Suite A, Boise, ID 83713 Phone: 208-377-9500 Fax: 208-377-8449 | |
Healthy Creations Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 2999 N Lakeharbor Ln Ste 201, Boise, ID 83703 Phone: 208-853-2277 Fax: 208-853-2278 | |
Dr. Benjamin Webb, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13909 W Wainwright Dr, Boise, ID 83713 Phone: 208-322-7900 | |
Dr. Gary D Musgrave, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3314 N. Cole Rd., Boise, ID 83704 Phone: 208-377-9930 Fax: 208-377-9932 | |
Dr. Luke A. Willett, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3040 N Five Mile Rd, Suite C, Boise, ID 83713 Phone: 208-321-8484 Fax: 208-321-5084 |