Dr Joanna Thomas, DC | |
2418 N Highway 67, Florissant, MO 63033-2036 | |
(217) 766-8765 | |
Not Available |
Full Name | Dr Joanna Thomas |
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Gender | Female |
Speciality | Chiropractor |
Location | 2418 N Highway 67, Florissant, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679023899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2016002467 (Missouri) | Primary |
Provider Name | Lifestyle Chiropractic And Training |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619464146 PECOS PAC ID: 3779914098 Enrollment ID: O20200520001759 |
Mailing Address | Practice Location Address |
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Dr Joanna Thomas, DC 2418 N Highway 67, Florissant, MO 63033-2036 Ph: (314) 395-6910 | Dr Joanna Thomas, DC 2418 N Highway 67, Florissant, MO 63033-2036 Ph: (217) 766-8765 |
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