Individual
JUSTIN COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1190 JEFFERSON ST STE 203, WASHINGTON, MO 63090-4443
(636) 359-4663
Mailing address
1190 JEFFERSON ST STE 203, WASHINGTON, MO 63090-4443
(636) 283-0328
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023039645
MO
Other
Enumeration date
10/02/2023
Last updated
01/17/2024
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