# EDMISTONE ACUPUNCTURE & CHIROPRACTIC

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

## Provider details

- **NPI number:** 1518384163
- **Authorized official:** MR. RONALD ALLEN EDMISTON D.C. (OWNER)
- **Authorized official phone:** (618) 624-8080

## Contact information

- **Practice address:** 1207 THOUVENOT LN STE 300, O FALLON, IL 62269-8916
- **Practice address phone:** (618) 624-8080
- **Practice address fax:** (618) 206-8070
- **Mailing address:** 1207 THOUVENOT LN STE 300, O FALLON, IL 62269-8916
- **Mailing address phone:** (618) 624-8080
- **Mailing address fax:** (618) 206-8070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 03801464 | IL | Yes |

## Other

- **Enumeration date:** 03/20/2014
- **Last updated:** 09/03/2025