Provider Demographics
NPI:1780863084
Name:RANNEY, GARY DEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:DEAN
Last Name:RANNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15520 E SUNDOWN DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-4100
Mailing Address - Country:US
Mailing Address - Phone:480-518-4409
Mailing Address - Fax:
Practice Address - Street 1:14700 N FRANK LLOYD WRIGHT BLVD
Practice Address - Street 2:SUITE 155
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2046
Practice Address - Country:US
Practice Address - Phone:480-518-4409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor