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Organization

NORTHWOODS CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERALD W WITT DC (PRESIDENT)
(816) 454-2100
Entity
Organization

Contact information

Practice address
5748 N BROADWAY ST, KANSAS CITY, MO 64118-3998
(816) 454-2100
(816) 454-2122
Mailing address
5748 N BROADWAY ST, KANSAS CITY, MO 64118-3998
(816) 454-2100
(816) 454-2122

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006792
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26500024
BC/BS
MO
Enumeration date
09/23/2005
Last updated
07/14/2010
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