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Individual

DR. GARY D HADDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2085 N 120TH ST STE D10, OMAHA, NE 68164-3480
(402) 397-3339
(402) 399-9271
Mailing address
2085 N 120TH ST STE D10, OMAHA, NE 68164-3480
(402) 397-3339
(402) 399-9271

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1112
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36693
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/31/2006
Last updated
08/02/2021
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