# VANCE CHIROPRACTIC CLINIC, INC

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

## Provider details

- **NPI number:** 1700074317
- **Authorized official:** DR. JOSHUA WAYNE VANCE D.C. (PRESIDENT)
- **Authorized official phone:** (417) 732-4000

## Contact information

- **Practice address:** 851 COLORADO, REPUBLIC, MO 65738-8424
- **Practice address phone:** (417) 732-4000
- **Practice address fax:** (417) 732-9702
- **Mailing address:** 851 COLORADO, REPUBLIC, MO 65738-8424
- **Mailing address phone:** (417) 732-4000
- **Mailing address fax:** (417) 732-9702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 006824 | MO | Yes |
| 111N00000X | Chiropractor | 2001002845 | MO | — |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 08/05/2024
