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Organization
PORTER CHIROPRACTIC CLINIC PC
Active
Organization
PORTER CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO I PORTER D.C. (DOCTOR OF CHIROPRACTIC)
(660) 438-5511
Entity
Organization
Contact information
Practice address
122 W WASHINGTON ST, WARSAW, MO 65355
(660) 438-5511
Mailing address
122 W WASHINGTON ST, PO BOX 532, WARSAW, MO 65355
(660) 438-5511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005505
MO
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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