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Organization
ACTIVE FAMILY CHIROPRACTIC, LLC
Active
Organization
ACTIVE FAMILY CHIROPRACTIC, LLC
Active
Other names
Cardinal Physical Medicine, Cardinal Chiropractic of St. Peters
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WAYNE BLALOCK JR. D.C. (MEMBER/MANAGER)
(636) 352-0380
Entity
Organization
Contact information
Practice address
235 JUNGERMANN RD STE 210, SAINT PETERS, MO 63376-5365
(636) 352-0380
(636) 352-2343
Mailing address
235 JUNGERMANN RD STE 210, SAINT PETERS, MO 63376-5365
(636) 352-0380
(636) 352-2343
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2011000744
MO
Other
Enumeration date
01/14/2011
Last updated
09/03/2026
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