Crestwood Back And Neck Pain Clinic

NPI 1194169334 - Chiropractor - 111N00000X

NPI Details
NPI 1194169334
Enumeration Date 04/18/2013
Last Updated 04/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name NICK NICK
Position OWNER
Phone (314) 961-4101
Fax
Practice Location
9109 WATSON RD
SAINT LOUIS MO, 63126-2235, US
Phone (314) 961-4101
Fax
Business Location
9109 WATSON RD
SAINT LOUIS MO, 63126-2235, US
Phone (314) 961-4101
Fax
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Crestwood Back And Neck Pain Clinic NPI is 1194169334, taxonomy code is 111N00000X Crestwood Back And Neck Pain Clinic physically located at 9109 Watson Rd, Saint Louis MO, 63126-2235. NPI Number 1033115704 has the healthcare provider type.

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1194169334 NPI number is provided on an as is basis without warranty of any kind. 1194169334 is maintained by the National Plan & Provider Enumeration System. The contents of Crestwood Back And Neck Pain Clinic are for informational purposes only.