Chesterfield Spine & Sports Medicine Center Llc

NPI 1134522881 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1134522881
Enumeration Date 10/08/2014
Last Updated 10/08/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOSHUA ALLEN JOSHUA
Position OWNER/CEO
Phone (270) 252-5840
Fax (636) 778-1179
Practice Location
16216 BAXTER RD
SUITE 190
CHESTERFIELD MO, 63017-4770, US
Phone (270) 252-5840
Fax (636) 778-1179
Business Location
16216 BAXTER RD
SUITE 190
CHESTERFIELD MO, 63017-4770, US
Phone (270) 252-5840
Fax (636) 778-1179
Toxanomy
Taxonomy Code 208100000X
License State Missouri
License Number 2012011134
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According to our database, Chesterfield Spine & Sports Medicine Center Llc NPI is 1134522881, taxonomy code is 208100000X and license number is 2012011134, license state is located at Missouri. Chesterfield Spine & Sports Medicine Center Llc physically located at 16216 Baxter Rd, Chesterfield MO, 63017-4770. NPI Number 1033115704 has the healthcare provider type.

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1134522881 NPI number is provided on an as is basis without warranty of any kind. 1134522881 is maintained by the National Plan & Provider Enumeration System. The contents of Chesterfield Spine & Sports Medicine Center Llc are for informational purposes only.