Organization
JAMES S WADDELL DC PC
Active
Other names
North Oak Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES STEVEN WADDELL D.C. (PRESIDENT)
(816) 436-7153
Entity
Organization
Contact information
Practice address
6716 N OAK TRAFFICWAY, GLADSTONE, MO 64118-3345
(816) 436-7158
Mailing address
6716 N OAK TRFY, GLADSTONE, MO 64118-3345
(816) 436-7158
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE004436
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752851907
—
MO
Enumeration date
06/19/2007
Last updated
10/05/2010
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