| St Louis Sports Chiropractic Center Pc | |
|
12032 Tesson Ferry Rd, Ste 100, Saint Louis, MO 63128-1774 | |
| (314) 843-8590 | |
| (314) 842-9899 |
| Full Name | St Louis Sports Chiropractic Center Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 12032 Tesson Ferry 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 |
|---|---|---|---|
| 1588851935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2001000372 (Missouri) | Primary |
| Provider Name | Darrell M Murphy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922157643 PECOS PAC ID: 6406893189 Enrollment ID: I20050415000007 |
| Provider Name | Megan K Floarke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326315888 PECOS PAC ID: 9335315738 Enrollment ID: I20120106000335 |
| Provider Name | Lacey Miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356711428 PECOS PAC ID: 5698079192 Enrollment ID: I20160203001614 |
| Mailing Address | Practice Location Address |
|---|---|
| St Louis Sports Chiropractic Center Pc 12032 Tesson Ferry Rd, Ste 100, Saint Louis, MO 63128-1774 Ph: (314) 843-8590 | St Louis Sports Chiropractic Center Pc 12032 Tesson Ferry Rd, Ste 100, Saint Louis, MO 63128-1774 Ph: (314) 843-8590 |
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Dr. Deborah Butler, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11911 Westline Industrial Dr, Saint Louis, MO 63146 Phone: 636-394-1200 Fax: 314-569-1623 | |
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