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Organization
ERNSTROM SPINAL REHAB LLC
Active
Organization
ERNSTROM SPINAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J ERNSTROM DC (OWNER/CHIROPRACTOR)
(208) 520-7109
Entity
Organization
Contact information
Practice address
908 DORESAY LN, CHESTERFIELD, MO 63017-1450
(208) 569-7825
(636) 775-2075
Mailing address
300 CHESTERFIELD CTR, SUITE 140, CHESTERFIELD, MO 63017-4867
(208) 520-7109
(636) 775-2075
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2010016363
MO
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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