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Organization
COMPREHENSIVE CHIROPRACTIC PC
Active
Organization
COMPREHENSIVE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK D FEDER DC (CHIROPRACTIC PHYSICIAN)
(636) 938-9310
Entity
Organization
Contact information
Practice address
113 WEST 5TH ST, EUREKA, MO 63025
(636) 938-9310
(636) 938-3204
Mailing address
113 WEST 5TH ST, EUREKA, MO 63025
(636) 938-9310
(636) 938-3204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006495
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003910
ASHN
MO
01
—
106922
BLUE CROSS BLUE SHIELD
MO
01
—
143427
GHP
MO
01
—
1941775
PHCS
MO
01
—
5538504
AETNA
MO
01
—
669258
HEALTHLINK
MO
01
—
DD9391
MEDICARE RAILROAD
—
01
—
U67511
MERCY
MO
Enumeration date
02/08/2006
Last updated
08/22/2020
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