Organization
HEALTH & PERFORMANCE CENTER
Active
Organization
HEALTH & PERFORMANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED VAN ANNE MS, DC (CONSERVATIVE CARE SPECIALIST)
(314) 628-9898
Entity
Organization
Contact information
Practice address
11 WORTHINGTON ACCESS DR STE D, MARYLAND HEIGHTS, MO 63043-3804
(314) 628-9898
Mailing address
11 WORTHINGTON ACCESS DR STE D, MARYLAND HEIGHTS, MO 63043-3804
(314) 628-9898
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2009011881
MO
Other
Enumeration date
01/27/2012
Last updated
09/11/2012
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