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Organization

BACK & NECK CARE CENTER OF OLIVETTE, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KYLE ROESLER D.C. (OWNER)
(314) 432-2220
Entity
Organization

Contact information

Practice address
9449 OLIVE BLVD, OLIVETTE, MO 63132-3130
(314) 432-2220
(314) 432-8161
Mailing address
9449 OLIVE BLVD, OLIVETTE, MO 63132-3130
(314) 432-2220
(314) 432-8161

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012000065
MO

Other

Enumeration date
04/01/2016
Last updated
04/01/2016
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