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Organization
GARST CLINIC PLC
Active
Organization
GARST CLINIC PLC
Active
Other names
Garst Clinic of Chiropratic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY B GARST D.C. (OWNER)
(540) 297-3440
Entity
Organization
Contact information
Practice address
3609 BRANDON AVE SW, ROANOKE, VA 24018-1525
(540) 297-3440
(540) 297-9313
Mailing address
3609 BRANDON AVE SW, ROANOKE, VA 24018-1525
(540) 297-3440
(540) 297-9313
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
0104000405
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004158926
AETNA
VA
01
—
142884
ANTHEM
VA
01
—
1437504354
UNITEDHEALTHCARE
VA
05
—
1437504354
—
VA
01
—
2089536
CIGNA
VA
01
—
460180
OPTUM
VA
01
—
C09282
MEDICARE PTAN
VA
Enumeration date
04/28/2016
Last updated
09/06/2016
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