# FRONTIER INTEGRATED HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114120649
- **Authorized official:** DR. RAYMOND JAMES OTTOMEYER III DC (OWNER)
- **Authorized official phone:** (636) 379-5934

## Contact information

- **Practice address:** 199 FRONTIER PARK DR, O FALLON, MO 63366-3963
- **Practice address phone:** (636) 379-5934
- **Practice address fax:** (636) 410-3323
- **Mailing address:** 199 FRONTIER PARK DR, O FALLON, MO 63366-3963
- **Mailing address phone:** (636) 379-5934
- **Mailing address fax:** (636) 410-3323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | 112431 | MO | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 02/24/2022