Organization
GLENN F. GUMAER, DC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN F. GUMAER DC (OWNER)
(541) 770-1330
Entity
Organization
Contact information
Practice address
3190 STATE ST, STE 101, MEDFORD, OR 97504-8497
(541) 770-1330
(541) 772-4228
Mailing address
3190 STATE ST, STE 101, MEDFORD, OR 97504-8497
(541) 770-1330
(541) 772-4228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2941
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226598
—
OR
Enumeration date
01/22/2015
Last updated
01/22/2015
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