Organization
CHIROPRACTIC HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD PORTER D.C. (CHIROPRACTOR)
(417) 326-8010
Entity
Organization
Contact information
Practice address
495 S MAIN AVE, SUITE C, BOLIVAR, MO 65613-2126
(417) 326-8010
(417) 326-8011
Mailing address
PO BOX 198, BOLIVAR, MO 65613-0198
(417) 326-8010
(417) 326-8011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005711
MO
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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