Organization
GARY WARREN D.C. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LYNN WARREN D.C. (CHIROPRACTOR)
(775) 828-3456
Entity
Organization
Contact information
Practice address
3045 LAKESIDE DR, RENO, NV 89509-4502
(775) 828-3456
(775) 828-5433
Mailing address
3045 LAKESIDE DR, RENO, NV 89509-4502
(775) 828-3456
(775) 828-5433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B00508
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VDC508A
MEDICARE PTAN
NV
Enumeration date
03/29/2011
Last updated
03/29/2011
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