Provider Demographics
NPI:1386706794
Name:TERREL, GARY CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:CHARLES
Last Name:TERREL
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 1:3130 S PARKER RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3110
Mailing Address - Country:US
Mailing Address - Phone:303-369-6555
Mailing Address - Fax:303-368-9237
Practice Address - Street 1:3130 S PARKER RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3110
Practice Address - Country:US
Practice Address - Phone:303-369-6555
Practice Address - Fax:303-368-9237
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor