Search › California › 111N00000X
Jordan Gray, D.C
NPI 1497055750 · on the registry since 2010 · sole proprietor
Practice
- Address
- 126 Old Mammoth Rd Ste 216
Mammoth Lakes, CA 93546 - Phone
- (760) 914-2661
- Fax
- (760) 299-5645
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California