Individual
DR. DAVID CHRISTOPHER DECLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2315 TECHNOLOGY DR, SUITE 107, O FALLON, MO 63368-7370
(314) 607-1973
Mailing address
1195 LINDEN DR, FLORISSANT, MO 63031-4415
(314) 607-1973
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011001913
MO
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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