# CARL L. BLOMENKAMP,D.C.,P.C.

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

## Provider details

- **NPI number:** 1316265127
- **Authorized official:** DR. CARL LAWRENCE BLOMENKAMP D.C. (DIRECTOR)
- **Authorized official phone:** (417) 326-3888

## Contact information

- **Practice address:** 2853 W BROADWAY ST, BOLIVAR, MO 65613-3379
- **Practice address phone:** (417) 326-3888
- **Mailing address:** 2853 W BROADWAY ST, PO BOX 16, BOLIVAR, MO 65613-3379
- **Mailing address phone:** (417) 326-3888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 5008 | MO | Yes |

## Other

- **Enumeration date:** 05/04/2010
- **Last updated:** 05/04/2010