Organization
GARY R. ATCHISON, DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY RAY ATCHISON D.C. (OWNER)
(618) 244-3958
Entity
Organization
Contact information
Practice address
2204 BROADWAY ST, MOUNT VERNON, IL 62864-2915
(618) 244-3958
(618) 244-4476
Mailing address
2204 BROADWAY ST, MOUNT VERNON, IL 62864-2915
(618) 244-3958
(618) 244-4476
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38003789
IL
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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