Provider Demographics
NPI:1740344282
Name:MCGEE, GARY PETER (DC)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:PETER
Last Name:MCGEE
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 1:1144 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:FORTY FORT
Mailing Address - State:PA
Mailing Address - Zip Code:18704-4015
Mailing Address - Country:US
Mailing Address - Phone:570-283-1610
Mailing Address - Fax:570-763-4134
Practice Address - Street 1:1144 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:FORTY FORT
Practice Address - State:PA
Practice Address - Zip Code:18704-4015
Practice Address - Country:US
Practice Address - Phone:570-283-1610
Practice Address - Fax:570-763-4134
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006258-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor