Individual
CORBIN MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3952 S FAIRVIEW AVE, SPRINGFIELD, MO 65807-4604
(417) 885-9078
Mailing address
681 N MONTEGO ST, NIXA, MO 65714-9183
(620) 875-0769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023016890
MO
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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