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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.

Location: 11216 Sunrise Blvd E Ste 3-203, Puyallup, WA, 98374-8848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Puyallup
State
Washington
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
Puyallup
State
Washington
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
111N00000X
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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