Individual
TRACY LEE GABBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
115 S KENDRICK AVE, GLENDIVE, MT 59330-1626
(406) 377-2101
(406) 377-2108
Mailing address
115 S KENDRICK AVE, GLENDIVE, MT 59330-1626
(406) 377-2101
(406) 377-2108
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
361
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160199
—
MT
05
—
0162929
—
MT
01
—
41410
BC/BS OF MT
MT
Enumeration date
06/21/2005
Last updated
08/27/2007
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