Primary Care Chiropractic Llc

NPI 1003856832 - Chiropractor - 111N00000X

NPI Details
NPI 1003856832
Enumeration Date 06/08/2006
Last Updated 07/18/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DUANE DUANE
Position OWNER
Phone (636) 227-4151
Fax
Practice Location
201 ENCHANTED PKWY
BALLWIN MO, 63021-5493, US
Phone (636) 227-4151
Fax
Business Location
PO BOX 800
MANCHESTER MO, 63011-1100, US
Phone (636) 227-4151
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 004979
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According to our database, Primary Care Chiropractic Llc NPI is 1003856832, taxonomy code is 111N00000X and license number is 004979, license state is located at Missouri. Primary Care Chiropractic Llc physically located at 201 Enchanted Pkwy, Ballwin MO, 63021-5493. NPI Number 1033115704 has the healthcare provider type.

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1003856832 NPI number is provided on an as is basis without warranty of any kind. 1003856832 is maintained by the National Plan & Provider Enumeration System. The contents of Primary Care Chiropractic Llc are for informational purposes only.