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NPI Code Detail

MEDICARE: GABRIEL J ARICIU DC

MEDICARE: GABRIEL J ARICIU 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
1111N00000XChiropractor2017031982MO

General Provider Information

NPI Number : 1740790716
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL J ARICIU DC
Provider Business Mailing Address
First Line : 305 KIME ST
Second Line :
City : WILLARD
State : MO
Zip : 65781-9102
Country : US
Telephone Number : 417-631-3152
Fax Number :
Provider Business Practice Location Address
First Line : 1736 E SUNSHINE ST STE 703
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-1333
Country : US
Telephone Number : 417-631-3152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2017
Last Update Date : 02/06/2026

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