| Clemons Chiropractic | |
|
1629 N Warson Rd, Saint Louis, MO 63132-1027 | |
| (314) 429-2929 | |
| (314) 429-4331 |
| Full Name | Clemons Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1629 N Warson Rd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336410240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 005796 (Missouri) | Primary |
| Provider Name | Jeannine M Clemons |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417042896 PECOS PAC ID: 4183886633 Enrollment ID: I20120501000094 |
| Mailing Address | Practice Location Address |
|---|---|
| Clemons Chiropractic 1629 N Warson Rd, Saint Louis, MO 63132-1027 Ph: (314) 429-2929 | Clemons Chiropractic 1629 N Warson Rd, Saint Louis, MO 63132-1027 Ph: (314) 429-2929 |
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