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Organization
CHIROPRACTIC PAIN CENTER
Active
Organization
CHIROPRACTIC PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRIOS THEOHARIDIS D.C. (PRESIDENT)
(816) 741-4104
Entity
Organization
Contact information
Practice address
10901 TOM WATSON PKWY, PARKVILLE, MO 64152-3991
(816) 741-4104
(816) 741-4515
Mailing address
10901 TOM WATSON PKWY, PARKVILLE, MO 64152-3991
(816) 741-4104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006774
MO
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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