Individual
MR. BARRY SCOTT WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13313 PRATT RD, LEES SUMMIT, MO 64086-9422
(816) 537-8133
Mailing address
13313 PRATT RD, LEES SUMMIT, MO 64086-9422
(816) 537-8133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005261
MO
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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