MEDICARE: GRUBER CHIROPRACTIC PS

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	111N00000X	Chiropractor	CH00003198	WA

General Provider Information

NPI Number	:	1689830002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRUBER CHIROPRACTIC PS

Provider Business Mailing Address
First Line	:	3608 GRANDVIEW ST
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1135
Country	:	US
Telephone Number	:	253-853-3353
Fax Number	:

Provider Business Practice Location Address
First Line	:	3608 GRANDVIEW ST
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1135
Country	:	US
Telephone Number	:	253-853-3353
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. BRUCE GRUBER
Credential	:	D.C
Telephone Number	:	253-853-3353

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	08/05/2008

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