Organization
MITCHELL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERRY DEWAYNE MITCHELL D.C. (OWNER)
(573) 265-0310
Entity
Organization
Contact information
Practice address
120 S JEFFERSON ST, SUITE 105, SAINT JAMES, MO 65559-1365
(573) 265-0310
Mailing address
120 S JEFFERSON ST, SUITE 105, SAINT JAMES, MO 65559-1365
(573) 265-0310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009026117
MO
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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