Organization
TARA ADAMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA ADAMS D.C. (OWNER)
(636) 346-1390
Entity
Organization
Contact information
Practice address
429 CORONADO DR, BALLWIN, MO 63011-2543
(636) 346-1390
Mailing address
429 CORONADO DR, BALLWIN, MO 63011-2543
(636) 346-1390
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2012027709
MO
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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