JORDAN M GRAY

Dr JORDAN M GRAY is a male medical professional, specializing in Chiropractic. He graduated in 2010 from Life Chiropractic College - West.

Contact

2311 LAKE TAHOE BLVD
SUITE 4
SOUTH LAKE TAHOE
CA
961507104

Tel: 5304160734

JORDAN M GRAY Information

Npi 1497055750
Pac Id 4880873116
Professional Enrollment Id I20110119000637
Last Name GRAY
First Name JORDAN
Middle Name M
Suffix
Gender M
Credential
Medical School Name LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year 2010
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2311 LAKE TAHOE BLVD
Line 2 Street Address SUITE 4
Marker Of Address Line 2 Suppression
City SOUTH LAKE TAHOE
State CA
Zip Code 961507104
Phone Number 5304160734
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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