# MISSOURI INJURY CLINICS NORTH LLC

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

## Provider details

- **NPI number:** 1528872777
- **Authorized official:** JOSEPH L HOLLINGSWORTH DC (MANAGER)
- **Authorized official phone:** (636) 262-3086

## Contact information

- **Practice address:** 14 VILLAGE SQUARE SHOP CTR, HAZELWOOD, MO 63042-1818
- **Practice address phone:** (636) 262-3086
- **Mailing address:** 14 VILLAGE SQUARE SHOP CTR, HAZELWOOD, MO 63042-1818
- **Mailing address phone:** (636) 262-3086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 02/06/2025