Organization
ELITE CHIROPRACTIC OF THE OZARKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNA WADE DC (OWNER/ SOLE PHYSICIAN)
(417) 274-4366
Entity
Organization
Contact information
Practice address
240 W MAIN ST, WEST PLAINS, MO 65775-2726
(417) 257-2477
Mailing address
PO BOX 485, BRANDSVILLE, MO 65688-0485
(417) 257-2477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2018000970
MO
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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