Organization
BOONVILLE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER GREEN DC, ATC (OWNER)
(660) 537-4773
Entity
Organization
Contact information
Practice address
321 MAIN ST, BOONVILLE, MO 65233-1565
(660) 882-5775
Mailing address
321 MAIN ST, BOONVILLE, MO 65233-1565
(660) 882-5775
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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