DR. Gary Lane Benedict, D.C.

NPI #1235261066 in Marissa, Illinois

Provider Information

NPI Number: 1235261066
Entity Type: Individual
Name: DR. Gary Lane Benedict, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Mar 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 112 N MAIN ST
City: Marissa
State: Illinois
ZIP Code: 62257-1342
Phone: (618) 295-2268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Organizations

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Southern Illinois Spine & Joint Center of Marissa LLC	Chiropractor	Marissa	AI Deep Dive
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