Individual
DR. STEPHAN CHRISTOPHER MANCIL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
510 E 17TH AVE, SUITE B, HUTCHINSON, KS 67501-5566
(620) 960-3555
Mailing address
510 E 17TH AVE, SUITE B, HUTCHINSON, KS 67501-5566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05758
KS
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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