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Individual

DR. GARY ROBERT SMITH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5660 CLINTON ST, SUITE 4, ELMA, NY 14059-9494
(716) 686-0868
(716) 686-0869
Mailing address
5660 CLINTON ST, SUITE 4, ELMA, NY 14059-9494
(716) 686-0868
(716) 686-0869

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
X007938
NY

Other

Enumeration date
10/06/2006
Last updated
05/01/2008
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