Organization
GOODRICH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY RENEE GOODRICH D.C. (OWNER)
(636) 947-4042
Entity
Organization
Contact information
Practice address
1398 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 947-4042
Mailing address
1398 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 947-4042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2008000408
MO
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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