Provider Demographics
NPI:1538412770
Name:GAUL, ANTHONY M (DC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:M
Last Name:GAUL
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 1:496 S DAYTON ST # 7-I
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6929
Mailing Address - Country:US
Mailing Address - Phone:303-363-9095
Mailing Address - Fax:303-363-6794
Practice Address - Street 1:496 S DAYTON ST # 7-I
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-6929
Practice Address - Country:US
Practice Address - Phone:303-363-9095
Practice Address - Fax:303-363-6794
Is Sole Proprietor?:No
Enumeration Date:2012-10-25
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0007031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor