Organization
SELLERS FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE W SELLERS DC (OWNER PROPRIETOR)
(573) 468-8884
Entity
Organization
Contact information
Practice address
405 WAL MART DRIVE, SULLIVAN, MO 63080
(573) 468-8884
(573) 468-8886
Mailing address
405 WAL MART DRIVE, SULLIVAN, MO 63080
(573) 468-8884
(573) 468-8886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006772
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033261649
PROVIDER NPI
—
Enumeration date
12/04/2007
Last updated
12/04/2007
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