| South County Chiropractic | |
|
4582 Telegraph Rd, Saint Louis, MO 63129-3318 | |
| (314) 892-3602 | |
| Not Available |
| Full Name | South County Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4582 Telegraph 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 |
|---|---|---|---|
| 1952648636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2013000303 (Missouri) | Primary |
| Provider Name | Laura B White |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114264991 PECOS PAC ID: 2668610635 Enrollment ID: I20130603000518 |
| Mailing Address | Practice Location Address |
|---|---|
| South County Chiropractic 1638 Twin Oaks Dr, Arnold, MO 63010-1040 Ph: (314) 892-3602 | South County Chiropractic 4582 Telegraph Rd, Saint Louis, MO 63129-3318 Ph: (314) 892-3602 |
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