| |
14324 South Outer 40 Road, Town & Country, MO 63017-0000 | |
(314) 909-8778 | |
(314) 909-8777 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 14324 South Outer 40 Road, Town & Country, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326130345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2000170278 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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14324 South Outer 40 Road, Town & Country, MO 63017-0000 Ph: (314) 909-8778 | 14324 South Outer 40 Road, Town & Country, MO 63017-0000 Ph: (314) 909-8778 |