Provider Demographics
NPI:1750609681
Name:GUY, TONY JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:TONY
Middle Name:JOHN
Last Name:GUY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3848 CAMPUS DR
Mailing Address - Street 2:SUITE #104
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2610
Mailing Address - Country:US
Mailing Address - Phone:949-735-8442
Mailing Address - Fax:949-650-5324
Practice Address - Street 1:365 RALCAM PL
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-1909
Practice Address - Country:US
Practice Address - Phone:949-735-8442
Practice Address - Fax:949-650-5324
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA21873111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation