Provider Demographics
NPI:1073787032
Name:GARY L. MEEK DC PC
Entity Type:Organization
Organization Name:GARY L. MEEK DC PC
Other - Org Name:MARSHFIELD CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MEEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:417-887-0340
Mailing Address - Street 1:1329 SPUR DR STE 70
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65706-2554
Mailing Address - Country:US
Mailing Address - Phone:417-859-4122
Mailing Address - Fax:
Practice Address - Street 1:1329 SPUR DR STE 70
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MO
Practice Address - Zip Code:65706-2554
Practice Address - Country:US
Practice Address - Phone:417-859-4122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-21
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty