Individual
ROGER G GUTSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
602 LANA DR, SUITE A, CAMERON, MO 64429-1473
(816) 632-6611
(816) 632-6112
Mailing address
602 LANA DR, SUITE A, CAMERON, MO 64429-1473
(816) 632-6611
(816) 632-6112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003906
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75346700
—
MO
Enumeration date
07/27/2005
Last updated
07/08/2007
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