Individual
JOSHUA THEODORE FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
310 E US HIGHWAY 50, STE 2, O FALLON, IL 62269-2700
(618) 398-9716
Mailing address
310 E US HIGHWAY 50, STE 2, O FALLON, IL 62269-2700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010902
IL
Other
Enumeration date
04/09/2007
Last updated
12/28/2007
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