Organization
DESOTO CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DANIEL CARPENTER D.C. (OWNER)
(636) 586-4226
Entity
Organization
Contact information
Practice address
112 N MAIN ST, DE SOTO, MO 63020-1709
(636) 586-4226
(636) 586-3791
Mailing address
112 N MAIN ST, DE SOTO, MO 63020-1709
(636) 586-4226
(636) 586-3791
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004035442
MO
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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