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Dr. Gary D Longshore, DC
Chiropractor in Yelm, Washington
NPI 1336277078

Gary D Longshore is a Chiropractor based in Yelm, WA. Gary D Longshore practices in Yelm, WA and has the professional credentials of DC. The NPI Number for Gary D Longshore is 1336277078 and holds a License No. CH3400 (Washington).

The current practice location address for Gary D Longshore is 12044 Bald Hill Rd Se, Yelm, WA and can be reached out via phone at 360-943-4113 and via fax at 360-455-4112.

Location: 12044 Bald Hill Rd Se, Yelm, WA, 98597-9664
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Provider Profile Details
NPI Number
1336277078
Provider Name
Gary D Longshore
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12044 Bald Hill Rd Se, Yelm, WA, 98597-9664
Phone Number
360-943-4113
Fax Number
360-455-4112
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
188260 01 WA L&I ID NUMBER
609947 01 WA ACN ACCOUNT NUMBER
institution
Provider Business Practice Location Address Details
Address
12044 Bald Hill Rd Se
City
State
Zip
98597-9664
Phone Number
360-943-4113
Fax Number
360-455-4112
person
Provider Business Mailing Address Details
Address
12044 Bald Hill Rd Se
City
State
Zip
98597-9664
Phone Number
360-943-4113
Fax Number
360-455-4112
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CH3400 (Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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