Individual
DR. CLINTON J DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3641 REAVIS BARRACKS RD, SAINT LOUIS, MO 63125-2438
(314) 531-8882
Mailing address
3106 WYOMING ST, SAINT LOUIS, MO 63118-2130
(314) 600-6677
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2010031861
MO
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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