ETHAN E A GENTRY

Dr ETHAN E A GENTRY is a male medical professional, specializing in Chiropractic. He graduated in 2013.

Contact

9711 HOLLAND ST
SUITE 3
BAKERSFIELD
CA
933122773

Tel: 6613737874

ETHAN E A GENTRY Information

Npi 1336573724
Pac Id 0042448953
Professional Enrollment Id I20140122000325
Last Name GENTRY
First Name ETHAN
Middle Name E A
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 9711 HOLLAND ST
Line 2 Street Address SUITE 3
Marker Of Address Line 2 Suppression
City BAKERSFIELD
State CA
Zip Code 933122773
Phone Number 6613737874
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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