Organization
NORTH COUNTY PAIN RELIEF CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE CUMMINS (OWNER)
(314) 731-4201
Entity
Organization
Contact information
Practice address
7157 N LINDBERGH BLVD, HAZELWOOD, MO 63042-2039
(314) 731-4201
(314) 731-4204
Mailing address
7157 N LINDBERGH BLVD, HAZELWOOD, MO 63042-2039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
04/06/2011
Last updated
08/04/2011
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