Organization
POWELL CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY RODGER POWELL D.C. (OWNER/ SOLE PROPRIETOR)
(660) 744-2032
Entity
Organization
Contact information
Practice address
604 S MAIN ST, ROCK PORT, MO 64482-1448
(660) 744-2032
(660) 744-2062
Mailing address
604 S MAIN ST # 274, ROCK PORT, MO 64482-1448
(660) 744-2032
(660) 744-2062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3551
MO
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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