Organization
ABUNDANT LIFE CHIROPRACTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON R MAXWELL D.C. (OWNER)
(636) 447-8600
Entity
Organization
Contact information
Practice address
1090 WOLFRUM RD, WELDON SPRING, MO 63304-7795
(636) 447-8600
(636) 447-8842
Mailing address
1090 WOLFRUM RD, WELDON SPRING, MO 63304-7795
(636) 447-8600
(636) 447-8842
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002032305
MO
Other
Enumeration date
03/08/2011
Last updated
03/31/2011
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