Individual
DR. GARY D EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3705 BETHEL ST, COLUMBIA, MO 65203-5603
(573) 447-2621
Mailing address
3705 BETHEL ST, COLUMBIA, MO 65203-5603
(573) 447-2621
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
108444
MO
208VP0014X
Interventional Pain Medicine Physician
Primary
108444
MO
Other
Enumeration date
01/09/2008
Last updated
01/10/2008
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