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Organization
FRONTIER INTEGRATED HEALTH CENTER INC
Active
Organization
FRONTIER INTEGRATED HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND JAMES OTTOMEYER III DC (OWNER)
(636) 379-5934
Entity
Organization
Contact information
Practice address
199 FRONTIER PARK DR, O FALLON, MO 63366-3963
(636) 379-5934
(636) 410-3323
Mailing address
199 FRONTIER PARK DR, O FALLON, MO 63366-3963
(636) 379-5934
(636) 410-3323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
112431
MO
Other
Enumeration date
06/11/2007
Last updated
02/24/2022
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