Hawk Ridge Family Chiropractic

NPI 1457660060 - Chiropractor - 111N00000X

NPI Details
NPI 1457660060
Enumeration Date 09/29/2010
Last Updated 11/17/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DANIEL L DANIEL
Position MEMBER
Phone (636) 614-2139
Fax
Practice Location
6251 RONALD REAGAN DR
LAKE ST LOUIS MO, 63367-2665, US
Phone (636) 614-2139
Fax
Business Location
PO BOX 584
WARRENTON MO, 63383-0584, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 2010033249
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According to our database, Hawk Ridge Family Chiropractic NPI is 1457660060, taxonomy code is 111N00000X and license number is 2010033249, license state is located at Missouri. Hawk Ridge Family Chiropractic physically located at 6251 Ronald Reagan Dr, Lake St Louis MO, 63367-2665. NPI Number 1033115704 has the healthcare provider type.

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1457660060 NPI number is provided on an as is basis without warranty of any kind. 1457660060 is maintained by the National Plan & Provider Enumeration System. The contents of Hawk Ridge Family Chiropractic are for informational purposes only.