| Accident And Injury Center Of North County Pc | |
|
11405 New Halls Ferry Rd, Florissant, MO 63033-7031 | |
| (314) 838-6070 | |
| Not Available |
| Full Name | Accident And Injury Center Of North County Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11405 New Halls Ferry Rd, Florissant, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942544010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2001017247 (Missouri) | Primary |
| Provider Name | Jesse L Roberts |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497050553 PECOS PAC ID: 4486891108 Enrollment ID: I20130521000595 |
| Provider Name | Ricky A Roberts |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174737167 PECOS PAC ID: 0840437562 Enrollment ID: I20130521000609 |
| Mailing Address | Practice Location Address |
|---|---|
| Accident And Injury Center Of North County Pc 11405 New Halls Ferry Rd, Florissant, MO 63033-7031 Ph: (314) 838-6070 | Accident And Injury Center Of North County Pc 11405 New Halls Ferry Rd, Florissant, MO 63033-7031 Ph: (314) 838-6070 |
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