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Individual

DR. CHARLES MEYER VIFQUAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
319 SE MAIN ST, LEES SUMMIT, MO 64063-2333
(816) 524-7000
(816) 524-6993
Mailing address
319 SE MAIN ST, LEES SUMMIT, MO 64063-2333
(816) 524-7000
(816) 524-6993

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006088
MO
111NS0005X
Sports Physician Chiropractor
006088
MO

Other

Enumeration date
11/18/2005
Last updated
03/24/2010
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