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Organization
GARY R. SMITH DC A PROFESSIONAL CHIROPRACTIC CORPORATION
Active
Organization
GARY R. SMITH DC A PROFESSIONAL CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY RICHARD SMITH (PRESIDENT)
(760) 346-5255
Entity
Organization
Contact information
Practice address
74967 US HIGHWAY 111, INDIAN WELLS, CA 92210-7136
(760) 346-5255
Mailing address
74967 US HIGHWAY 111, INDIAN WELLS, CA 92210-7136
(760) 346-5255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17960
CA
Other
Enumeration date
10/30/2012
Last updated
01/28/2019
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