Individual
DR. GARY CHARLES TRUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1092 S PONCE DE LEON BLVD STE K, ST AUGUSTINE, FL 32084-6018
(904) 460-2923
Mailing address
19470 COASTAL HWY UNIT 3, REHOBOTH BEACH, DE 19971-6127
(302) 226-1234
(302) 226-1883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104001342
VA
111N00000X
Chiropractor
02183
MD
111N00000X
Chiropractor
CH10142
FL
111N00000X
Chiropractor
Primary
F1-0000786
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4579059
AETNA
MD
Enumeration date
05/03/2007
Last updated
09/21/2018
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