Individual
DR. GARY ROY GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
61 E HIGH ST, LONDON, OH 43140-1247
(740) 852-0717
(740) 852-0828
Mailing address
61 E HIGH ST, LONDON, OH 43140-1247
(740) 852-0717
(740) 852-0828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000309381
ANTHEM
OH
Enumeration date
03/07/2007
Last updated
07/08/2007
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