Individual
GARY BRUCE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1113 NE 7TH ST, BEND, OR 97701-4563
(541) 389-7616
(541) 389-7616
Mailing address
1113 NE 7TH ST, BEND, OR 97701-4563
(541) 389-7616
(541) 389-7616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272625
OR
Other
Enumeration date
10/18/2006
Last updated
04/18/2013
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