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Organization
ST. JOSEPH CHIROPRACTIC LLC
Active
Organization
ST. JOSEPH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG MATTOX DC (OWNER)
18162790700
Entity
Organization
Contact information
Practice address
2335 N BELT HWY, STE. A, SAINT JOSEPH, MO 64506-5040
(816) 279-0700
(816) 279-4442
Mailing address
2335 N BELT HWY, STE. A, SAINT JOSEPH, MO 64506-5040
(816) 279-0700
(816) 279-4442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000156760
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27278027
BLUE CROSS BLUE SHIELD
MO
Enumeration date
05/17/2007
Last updated
09/28/2010
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