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Organization
UNDERWOOD CHIROPRACTIC L.L.C.
Active
Organization
UNDERWOOD CHIROPRACTIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ROBERT UNDERWOOD D.C. (OWNER)
(618) 624-2400
Entity
Organization
Contact information
Practice address
787 SUNSET BLVD, SUITE 200, O FALLON, IL 62269-1960
(618) 624-2400
Mailing address
787 SUNSET BLVD, SUITE 200, O FALLON, IL 62269-1960
(618) 624-2400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011164
IL
Other
Enumeration date
05/19/2008
Last updated
07/07/2008
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