Organization
GROGAN CHIROPRACTIC AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT GROGAN D.C. (CHIROPRACTIC PHYSICIAN)
(314) 435-3878
Entity
Organization
Contact information
Practice address
936 CHESTERFIELD PKWY E, CHESTERFIELD, MO 63017-2042
(636) 537-0564
Mailing address
1325 PROSPECT VILLAGE LN APT A, BALLWIN, MO 63021-5773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012000016
MO
Other
Enumeration date
01/03/2012
Last updated
04/19/2012
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