person
Dr. Leroy Robert Gregory, DC
Chiropractor in Puyallup, Washington
NPI 1639241367

Leroy Robert Gregory is a Chiropractor based in Puyallup, WA. Leroy Robert Gregory practices in Puyallup, WA and has the professional credentials of DC. The NPI Number for Leroy Robert Gregory is 1639241367 and holds a License No. CH00003156 (Washington).

The current practice location address for Leroy Robert Gregory is 11216 Sunrise Blvd E Ste 3-203, Puyallup, WA and can be reached out via phone at 253-864-6519 and via fax at 253-864-0673. You can also correspond with Leroy Robert Gregory through the mailing address at 11216 SUNRISE BLVD E STE 3-203, PUYALLUP, WA - 98374-8848 (mailing address contact number: 253-864-6519).

Location: 11216 Sunrise Blvd E Ste 3-203, Puyallup, WA, 98374-8848
person
Provider Profile Details
NPI Number
1639241367
Provider Name
Leroy Robert Gregory
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
11216 Sunrise Blvd E Ste 3-203, Puyallup, WA, 98374-8848
Phone Number
253-864-6519
Fax Number
253-864-0673
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00158090 01 WA MEDICARE RAILROAD
602020658 01 WA UBI
institution
Provider Business Practice Location Address Details
Address
11216 Sunrise Blvd E Ste 3-203
City
State
Zip
98374-8848
Phone Number
253-864-6519
Fax Number
253-864-0673
person
Provider Business Mailing Address Details
Address
11216 Sunrise Blvd E Ste 3-203
City
State
Zip
98374-8848
Phone Number
253-864-6519
Fax Number
253-864-0673
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CH00003156 (Washington)
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 interrelationship with other body systems.
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