Doctor Name: | RANDALL ROBERT GATES |
NPI Number: | 1255633830 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | B01354 |
Business Practice Address: | 1175 Harvard Way (power Health Chiropractic, Inc.) Reno, NV - 895022106 |
Business Phone Number: | 7753294402 |
Business Fax Number: | 7753298545 |
Mailing Address: | 1175 Harvard Way, RENO |
State: | NV |
Postal Code: | 895022106 |
Phone Number: | 7753294402 |
Fax Number: | 7753298545 |
NPI Enumeration Date: | 12/02/2010 |
NPI Last Update Date: | 12/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | B01354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |