| Doctor Name: | MR. MARK E GRAYCAR |
| NPI Number: | 1013130830 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C., D.N.F.T. |
| License Number: | 4822 |
| Business Practice Address: | 3014 Bluff St Suite 100 Boulder, CO - 803012166 |
| Business Phone Number: | 7204069447 |
| Business Fax Number: | 3039741133 |
| Mailing Address: | 3014 Bluff St, Suite 100 BOULDER |
| State: | CO |
| Postal Code: | 803012166 |
| Phone Number: | 7204069447 |
| Fax Number: | 3039741133 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 11/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | 4822 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |