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NPI Code Detail

MEDICARE: DR. GARY ROSQUIST DC,ACCUPUNCTURIST

MEDICARE: DR. GARY ROSQUIST DC,ACCUPUNCTURIST
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
1111NX0800XOrthopedic Chiropractor1742241202UT

General Provider Information

NPI Number : 1427078666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY ROSQUIST DC,ACCUPUNCTURIST
Provider Business Mailing Address
First Line : 887 E VINE ST
Second Line :
City : MURRAY
State : UT
Zip : 84107-6515
Country : US
Telephone Number : 801-266-1415
Fax Number :
Provider Business Practice Location Address
First Line : 887 E VINE ST
Second Line :
City : MURRAY
State : UT
Zip : 84107-6515
Country : US
Telephone Number : 801-266-1415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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