| |
731 Hastings St., Mt. Vernon, MO 65712-1020 | |
(417) 466-7166 | |
(417) 466-7591 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 731 Hastings St., Mt. Vernon, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952461170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 006602 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
731 Hastings St., Mt. Vernon, MO 65712-1020 Ph: (417) 466-7166 | 731 Hastings St., Mt. Vernon, MO 65712-1020 Ph: (417) 466-7166 |