Organization
IMAGE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILES GOINS DC (PRESIDENT)
(573) 581-2446
Entity
Organization
Contact information
Practice address
2709 E LIBERTY ST, MEXICO, MO 65265-3556
(573) 581-2446
(573) 581-2448
Mailing address
2709 E LIBERTY ST, MEXICO, MO 65265-3556
(573) 581-2446
(573) 581-2448
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011039597
MO
Other
Enumeration date
02/27/2015
Last updated
02/12/2020
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