Organization
SPINAL DECOMPRESSION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD B HAVEY DC (PRESIDENT)
(636) 536-2304
Entity
Organization
Contact information
Practice address
16223 BAXTER RD, CHESTERFIELD, MO 63017-4777
(636) 536-2304
Mailing address
16223 BAXTER RD, CHESTERFIELD, MO 63017-4777
(636) 536-2304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
005552
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
02/27/2009
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