Organization
CRIDER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER RENE STALCUP D.C (DOCTOR)
(314) 315-2868
Entity
Organization
Contact information
Practice address
1043A WOLFRUM RD, WELDON SPRING, MO 63304-7625
(314) 315-2868
Mailing address
1043A WOLFRUM RD, WELDON SPRING, MO 63304-7625
(314) 315-2868
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2007021516
MO
Other
Enumeration date
08/31/2007
Last updated
02/24/2012
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