Individual provider · Type 1 NPI
Leslie M. Gray Iii, DC
Chiropractor · Baltimore, MD
NPI number
1366528069
Active
Practice location
3011 Montebello Ter
Baltimore, MD 21214-3311
Fax (410) 444-1424
Mailing address
PO Box 157
Ashton, MD 20861-0157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | S01270 (MD) |
| Rehabilitation Chiropractor | 111NR0400X | S01270 (MD) |
Chiropractor: 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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About NPI 1366528069
Leslie M. Gray Iii, DC's National Provider Identifier is 1366528069, issued on Oct 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 5, 2013.