Individual
DR. GARY BAUER GARST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3609 BRANDON AVE SW, ROANOKE, VA 24018-1525
(540) 297-3440
(540) 297-9313
Mailing address
3609 BRANDON AVE SW, ROANOKE, VA 24018-1525
(540) 297-3440
(540) 297-9313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000405
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142884
ANTHEM
VA
05
—
1992816672
—
VA
01
—
2089536
CIGNA
—
01
—
250139
SOUTHERN HEALTH
—
01
—
4632907
AETNA
—
01
—
5897389
GHI
—
01
—
DE3294
RAILROAD MEDICARE
VA
Enumeration date
08/31/2006
Last updated
07/07/2016
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