Individual
DR. PATRICK JAY THEOBALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1350 SPUR DR, STE 220, MARSHFIELD, MO 65706-2344
(417) 859-7750
(417) 859-6541
Mailing address
1350 SPUR DR, STE 220, MARSHFIELD, MO 65706-2344
(417) 859-7750
(417) 859-6541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005526
MO
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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