Individual
MR. TYLER G GAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, AC
Contact information
Practice address
3088 N ROBERT RD, PRESCOTT VALLEY, AZ 86314-8653
(928) 775-0522
(928) 775-5922
Mailing address
3088 N ROBERT RD, PRESCOTT VALLEY, AZ 86314-8653
(928) 775-0522
(928) 775-5922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
108041421202
UT
111N00000X
Chiropractor
Primary
9341
AZ
171100000X
Acupuncturist
0631
AZ
Other
Enumeration date
05/21/2018
Last updated
10/08/2024
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