Individual
DR. ROBERT E GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1565 E LEIGHFIELD DR, SUITE 150, MERIDIAN, ID 83646
(208) 884-2142
Mailing address
1565 E LEIGHFIELD DR, SUITE 150, MERIDIAN, ID 83646
(208) 008-2142
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA 692 ID
ID
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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