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Individual

DR. PHIL M GAINAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
6960 MARKET ST, SUITE 2, BOARDMAN, OH 44512-4508
(330) 629-9476
(330) 628-2024
Mailing address
6960 MARKET ST, SUITE 2, BOARDMAN, OH 44512-4508
(330) 629-9476
(330) 628-2024

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2928
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000116209
ANTHEM BCBS
01
0007829077
AETNA
01
341944535
CIGNA
01
3419944535
CONSTITUTION STATE SERV
Enumeration date
07/03/2006
Last updated
11/02/2011
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