Provider Demographics
NPI:1326169616
Name:KLEPPER, GARY BOB (DC)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:BOB
Last Name:KLEPPER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:GARY
Other - Middle Name:THOMAS
Other - Last Name:KLEPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:39293 PITKIN RD
Mailing Address - Street 2:
Mailing Address - City:PAONIA
Mailing Address - State:CO
Mailing Address - Zip Code:81428-8313
Mailing Address - Country:US
Mailing Address - Phone:970-527-8219
Mailing Address - Fax:970-527-8259
Practice Address - Street 1:39293 PITKIN RD
Practice Address - Street 2:
Practice Address - City:PAONIA
Practice Address - State:CO
Practice Address - Zip Code:81428-8313
Practice Address - Country:US
Practice Address - Phone:970-527-8219
Practice Address - Fax:970-527-8259
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor