Organization
BALLAS CHIROPRACTIC CENTRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KURT WIPPERMAN DC (PRESIDENT)
(314) 872-7797
Entity
Organization
Contact information
Practice address
11639 STUDT AVE, SAINT LOUIS, MO 63141-7015
(314) 872-7797
Mailing address
11639 STUDT AVE, SAINT LOUIS, MO 63141-7015
(314) 872-7797
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5660
MO
Other
Enumeration date
02/01/2010
Last updated
05/20/2010
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