Organization
ACCIDENT & SPORTS REHAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN T DENT D.C. (OWNER)
(314) 895-3328
Entity
Organization
Contact information
Practice address
6307 HAZELWEST CT, SUITE 100, HAZELWOOD, MO 63042-1739
(314) 895-3328
(314) 731-4832
Mailing address
6307 HAZELWEST CT, SUITE 100, HAZELWOOD, MO 63042-1739
(314) 895-3328
(314) 731-4832
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
005912
MO
Other
Enumeration date
04/20/2007
Last updated
12/04/2007
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