Individual
MR. LARY GENE SPILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16809 REDMOND WAY, REDMOND, WA 98052-4449
(425) 883-2433
(425) 861-0883
Mailing address
16809 REDMOND WAY, REDMOND, WA 98052-4449
(425) 883-2433
(425) 861-0883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
00001720
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18251
L I
—
05
—
2007003
—
WA
Enumeration date
03/15/2006
Last updated
07/08/2007
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