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Individual

DR. ANTHONY GUTIERREZ III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3704 172ND ST NE, SUITE N, ARLINGTON, WA 98223-6336
(360) 658-3818
(360) 651-2344
Mailing address
3704 172ND ST NE, STE N, ARLINGTON, WA 98223-6336
(360) 688-3818
(360) 651-2344

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2236
SC
111N00000X
Chiropractor
Primary
3195
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104848
L & I
WA
01
1685GU
REGENCE
WA
01
911868835
CORPOATE TAX ID
WA
Enumeration date
02/12/2007
Last updated
10/23/2017
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