Healthcare Provider Details

I. General information

NPI: 1295734879
Provider Name (Legal Business Name): BRIAN CHRISTOPHER GAMETT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 W HORIZON RIDGE PKWY STE 104
HENDERSON NV
89052-2869
US

IV. Provider business mailing address

2610 W HORIZON RIDGE PKWY STE 104
HENDERSON NV
89052-2869
US

V. Phone/Fax

Practice location:
  • Phone: 702-492-6325
  • Fax: 702-492-0615
Mailing address:
  • Phone: 702-492-6325
  • Fax: 702-492-0615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB-924
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB924
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: