West County Physical Medicine

NPI 1083811731 - Chiropractor - 111NN0400X

NPI Details
NPI 1083811731
Enumeration Date 06/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MATTHEW MATTHEW
Position MEMBER MANAGER
Phone (636) 861-8558
Fax
Practice Location
2007 SMIZER STATION RD
VALLEY PARK MO, 63088-2097, US
Phone (636) 861-8558
Fax
Business Location
PO BOX 672
FENTON MO, 63026-0672, US
Phone (636) 861-8558
Fax
Toxanomy
Taxonomy Code 111NN0400X
License State Missouri
License Number 00006485
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According to our database, West County Physical Medicine NPI is 1083811731, taxonomy code is 111NN0400X and license number is 00006485, license state is located at Missouri. West County Physical Medicine physically located at 2007 Smizer Station Rd, Valley Park MO, 63088-2097. NPI Number 1033115704 has the healthcare provider type.

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1083811731 NPI number is provided on an as is basis without warranty of any kind. 1083811731 is maintained by the National Plan & Provider Enumeration System. The contents of West County Physical Medicine are for informational purposes only.