Organization
RADIANT HEALTH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN TRIBBLE D.C. (OWNER/MANAGER)
(816) 350-0860
Entity
Organization
Contact information
Practice address
111 NW TEAKWOOD ST, LEES SUMMIT, MO 64064-1438
(816) 350-0860
(816) 350-0860
Mailing address
111 NW TEAKWOOD ST, LEES SUMMIT, MO 64064-1438
(816) 350-0860
(816) 350-0860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4070
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27115022
GROUP BCBS NUMBER
—
01
—
27116021
INDIVIDUAL BC/BS NUMBER
—
Enumeration date
11/08/2007
Last updated
11/08/2007
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