Organization
ADVANCED CHIROPRACTIC SPINE AND JOINT REHAB. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BECKER DC (OWNER)
(636) 379-6267
Entity
Organization
Contact information
Practice address
204 W PITMAN ST STE C, O FALLON, MO 63366-2869
(636) 379-6267
(636) 980-8083
Mailing address
204 W PITMAN ST STE C, O FALLON, MO 63366-2869
(636) 379-6267
(636) 980-8083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006673
MO
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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