Individual
DR. GARY L. BANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7566 WOODBURY PIKE, ROARING SPRING, PA 16673-0252
(814) 224-4511
(814) 224-2529
Mailing address
7566 WOODBURY PIKE, PO BOX 252, ROARING SPRING, PA 16673-0252
(814) 224-4511
(814) 224-2529
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001500L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006239660001
—
PA
01
—
350409030
RAILROAD MEDICARE
PA
Enumeration date
04/18/2007
Last updated
09/22/2011
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