NPI Profile for TYLER G GAGON in PRESCOTT VALLEY, AZ.
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Acupuncturist |
171100000X |
| NPI # | 1487145934 |
|
| Status | Active | |
| Credentials | DC, AC | |
| Entity | Individual | |
| Enumeration date | 05/21/2018 | |
| Last updated | 10/08/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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TYLER G GAGON
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