Provider Demographics
NPI:1497937064
Name:GAY, DONALD LEE (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:LEE
Last Name:GAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 S PIKES PEAK AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:CO
Mailing Address - Zip Code:81226-1430
Mailing Address - Country:US
Mailing Address - Phone:719-784-9735
Mailing Address - Fax:719-784-6077
Practice Address - Street 1:119 S PIKES PEAK AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:CO
Practice Address - Zip Code:81226-1430
Practice Address - Country:US
Practice Address - Phone:719-784-9735
Practice Address - Fax:719-784-6077
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1264111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor