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Individual

DAN GARTH TUBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
911 GRAHAM RD, STE. 66, CUYAHOGA FALLS, OH 44221
(330) 945-4700
(330) 945-5876
Mailing address
PO BOX 1417, HUDSON, OH 44236
(330) 945-4700
(330) 945-5876

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1011
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0530232
OH
01
TU0542574
MEDICARE PTAN
OH
Enumeration date
09/28/2006
Last updated
03/27/2015
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