Organization
MARK BALDERSTON DC PA
Active
Other names
MARK BALDERSTON DC PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S BALDERSTON D.C. (CHIROPRACTOR)
(913) 631-8888
Entity
Organization
Contact information
Practice address
6308 MONROVIA ST, SHAWNEE, KS 66216-1107
(913) 631-8888
(913) 962-1627
Mailing address
6308 MONROVIA ST, SHAWNEE, KS 66216-2740
(913) 631-8888
(913) 962-1627
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03482
KS
Other
Enumeration date
06/10/2006
Last updated
12/21/2010
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