Individual
MR. GARY L FAVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
109 S WATER ST, #2, ELLENSBURG, WA 98926
(509) 962-2225
(509) 962-2270
Mailing address
109 S WATER ST, #2, ELLENSBURG, WA 98926
(509) 962-2225
(509) 962-2270
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003607
WA
Other
Enumeration date
09/20/2006
Last updated
12/03/2007
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