Individual
DR. GARY LLOYD BUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
125 W 2ND ST, SAN DIMAS, CA 91773-2630
(909) 599-0237
(909) 599-0237
Mailing address
PO BOX 304, SAN DIMAS, CA 91773-0304
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
DC14561
CA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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