Provider Demographics
NPI:1245346592
Name:MCARTHUR, GARY LLOYD (DC)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:LLOYD
Last Name:MCARTHUR
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:PO BOX 940
Mailing Address - Street 2:
Mailing Address - City:MAGALIA
Mailing Address - State:CA
Mailing Address - Zip Code:95954-0940
Mailing Address - Country:US
Mailing Address - Phone:530-873-3200
Mailing Address - Fax:530-873-3398
Practice Address - Street 1:14154 SKYWAY
Practice Address - Street 2:SUITE 6
Practice Address - City:MAGALIA
Practice Address - State:CA
Practice Address - Zip Code:95954
Practice Address - Country:US
Practice Address - Phone:530-873-3200
Practice Address - Fax:530-873-3398
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA181410111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U47337Medicare UPIN
CADC0181410Medicare ID - Type Unspecified