MEDICARE: DR. ANDREW JAMES GUNTHER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4137	OK

General Provider Information

NPI Number	:	1144645318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JAMES GUNTHER D.C.

Provider Business Mailing Address
First Line	:	1518 E 71ST ST APT 309
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-5015
Country	:	US
Telephone Number	:	918-286-2729
Fax Number	:	918-286-0651

Provider Business Practice Location Address
First Line	:	2518 E KENOSHA ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74014-6712
Country	:	US
Telephone Number	:	918-286-2729
Fax Number	:	918-286-0651

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2014
Last Update Date	:	02/25/2014

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