Organization
SUITER CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD SUITER DC (OWNER)
(636) 227-4378
Entity
Organization
Contact information
Practice address
15320 MANCHESTER RD, ELLISVILLE, MO 63011-3027
(636) 227-4378
Mailing address
15320 MANCHESTER RD, ELLISVILLE, MO 63011-3027
(636) 227-4378
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004150
MO
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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