Individual
DR. JAMES BLAINE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
372 LADUEMONT DR, SAINT LOUIS, MO 63141-8056
(314) 249-9361
Mailing address
PO BOX 31091, SAINT LOUIS, MO 63131-0091
(314) 249-9361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002025278
MO
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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