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Organization
ADVANCED CHIROPRACTIC SPINE AND JOINT REHAB. PC
Active
Organization
ADVANCED CHIROPRACTIC SPINE AND JOINT REHAB. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BECKER DC (OWNER)
(636) 379-6267
Entity
Organization
Contact information
Practice address
204 W PITMAN ST STE C, O FALLON, MO 63366-2869
(636) 379-6267
(636) 980-8083
Mailing address
204 W PITMAN ST STE C, O FALLON, MO 63366-2869
(636) 379-6267
(636) 980-8083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006673
MO
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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