Individual
DR. DERRICK BENNET EICHSTADT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
503 W HIGHWAY 54, HERMITAGE, MO 65668-9105
(417) 745-6152
Mailing address
503 W HIGHWAY 54, HERMITAGE, MO 65668-9105
(417) 745-6152
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002010021
MO
Other
Enumeration date
06/20/2005
Last updated
07/08/2007
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