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Organization

CRANWELL CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD WAYNE CRANWELL D.C. (OWNER)
(314) 843-3039
Entity
Organization

Contact information

Practice address
11705 GRAVOIS RD, SAINT LOUIS, MO 63127-1803
(314) 843-3039
(314) 843-9604
Mailing address
11705 GRAVOIS RD, SAINT LOUIS, MO 63127-1803
(314) 843-3039
(314) 843-9604

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03791
MO

Other

Enumeration date
12/18/2007
Last updated
02/01/2008
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