Organization
NIXAS MAIN STREET CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LEIGH PARKER B,SC,D.C. (OWNER)
(417) 724-9994
Entity
Organization
Contact information
Practice address
106 W SHERMAN WAY, SUITE 1, NIXA, MO 65714-7620
(417) 724-9994
(417) 724-9965
Mailing address
106 W SHERMAN WAY, SUITE 1, NIXA, MO 65714-7620
(417) 724-9994
(417) 724-9965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004505
MO
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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