Organization
FRIDLEY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FRIDLEY (SINGLE MEMBER)
(636) 332-1769
Entity
Organization
Contact information
Practice address
1126 W PEARCE BLVD, STE 114, WENTZVILLE, MO 63385-1053
(636) 332-1769
(636) 639-9235
Mailing address
1126 W PEARCE BLVD, STE 114, WENTZVILLE, MO 63385-1053
(636) 332-1769
(636) 639-9235
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2000161195
MO
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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