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NPI Code Detail

MEDICARE: DR. GARY M CHENEY DC

MEDICARE: DR. GARY M CHENEY DC
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
1111N00000XChiropractorB00353NV

General Provider Information

NPI Number : 1053485458
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY M CHENEY DC
Provider Business Mailing Address
First Line : 1605 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3312
Country : US
Telephone Number : 702-382-0211
Fax Number : 702-382-3994
Provider Business Practice Location Address
First Line : 1605 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3312
Country : US
Telephone Number : 702-382-0211
Fax Number : 702-382-3994
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GARY M CHENEY DC” Practice Location

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