Organization
CHIROPRACTIC OF WILDWOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK TAL HOLLAND D.C. (CHIROPRACTOR)
(314) 495-4928
Entity
Organization
Contact information
Practice address
2476 TAYLOR RD, WILDWOOD, MO 63040-1222
(636) 458-7575
(636) 458-7979
Mailing address
2476 TAYLOR RD, WILDWOOD, MO 63040-1222
(636) 458-7575
(636) 458-7979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002014997
MO
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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