| Kristina Ruddle D.c. Llc | |
|
4455 Telegraph Rd Ste 250, Saint Louis, MO 63129-3354 | |
| (314) 416-4900 | |
| (314) 487-4669 |
| Full Name | Kristina Ruddle D.c. Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4455 Telegraph Rd Ste 250, Saint Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487011268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2016000080 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Ruddle D.c. Llc 136 Country Club Parc Ct, Imperial, MO 63052-3626 Ph: (314) 775-5396 | Kristina Ruddle D.c. Llc 4455 Telegraph Rd Ste 250, Saint Louis, MO 63129-3354 Ph: (314) 416-4900 |
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