MEDICARE: JUWAN WRAY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0013X	Independent Medical Examiner Chiropractor	2025030240	MO

General Provider Information

NPI Number	:	1528915238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUWAN WRAY DC

Provider Business Mailing Address
First Line	:	2050 WOODSON RD
Second Line	:
City	:	OVERLAND
State	:	MO
Zip	:	63114-5644
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 WOODSON RD
Second Line	:
City	:	OVERLAND
State	:	MO
Zip	:	63114-5644
Country	:	US
Telephone Number	:	314-447-0725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ JUWAN WRAY DC” Practice Location

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