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Organization

TIMOTHY R MCMULLEN DC PC

Active
Other names
McMullen Chiropractic Center, PC
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY RICHARD MCMULLEN D.C. (CORPORATE PRESIDENT)
(816) 781-1010
Entity
Organization

Contact information

Practice address
1508 MISSOURI ROUTE A, SUITE A, LIBERTY, MO 64068-7129
(816) 781-1010
(816) 415-8487
Mailing address
1508 MISSOURI ROUTE A, SUITE A, LIBERTY, MO 64068-7129
(816) 781-1010
(816) 415-8487

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006657
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25314026
BCBS PROVIDER NUMBER
MO
01
7070138
AETNA PROVIDER NUMBER
MO
01
U70653
HUMANA
MO
Enumeration date
11/07/2006
Last updated
10/02/2007
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