Organization
MOMPER SPINE & SPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MOMPER DC (OWNER/CHIROPRACTOR)
(260) 433-0687
Entity
Organization
Contact information
Practice address
905 MAIN PLAZA DR, WENTZVILLE, MO 63385-1168
(636) 856-1260
Mailing address
1108 BONHOMME LAKE DR APT L, SAINT LOUIS, MO 63132-5307
(260) 433-0687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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