Organization
ST. LOUIS OPTIMAL PERFORMANCE, LLC
Active
Parent organization
ST. LOUIS OPTIMAL PERFORMANCE
Other names
Optimal Performance Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LOUIS OPTIMAL PERFORMANCE
Authorized official
DR. BRIAN ANDREW LAIDERMAN D.C. (CHIROPRACTIC PHYSICIAN/OWNER)
(636) 778-9997
Entity
Organization
Contact information
Practice address
219 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1257
(636) 778-9997
(636) 778-9994
Mailing address
219 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1257
(636) 778-9997
(636) 778-9994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012014238
MO
Other
Enumeration date
11/15/2012
Last updated
07/02/2013
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