Organization
TALLEY CHIROPRACTIC OFFICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY LERICHARD TALLEY D.C. (PRESIDENT/DOCTOR)
(417) 451-1545
Entity
Organization
Contact information
Practice address
317 S WOOD ST, NEOSHO, MO 64850-1857
(417) 451-1545
(417) 451-1548
Mailing address
317 S WOOD ST, NEOSHO, MO 64850-1857
(417) 451-1545
(417) 451-1548
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002172
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14544
BLUE CROSS BLUE SHIELD
MO
01
—
1720145865
INDIVIDUAL NPI
MO
Enumeration date
07/25/2007
Last updated
07/25/2007
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