Organization
ST JOHN CHIROPRACTIC OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GERALD ST JOHN DC (PRESIDENT)
(417) 967-2470
Entity
Organization
Contact information
Practice address
301 S 1ST ST, HOUSTON, MO 65483-1621
(417) 967-2470
(417) 967-3962
Mailing address
301 S 1ST ST, HOUSTON, MO 65483-1621
(417) 967-2470
(417) 967-3962
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3368
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T43076
UPIN
—
Enumeration date
07/12/2006
Last updated
10/10/2007
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