Organization
PREMIER CHIROPRACTIC WELLNESS CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANTHONY D.C (DOCTOR OF CHIROPRACTIC)
(314) 691-5404
Entity
Organization
Contact information
Practice address
9 THE PLZ, TROY, MO 63379-1365
(314) 691-5404
Mailing address
9 THE PLZ, TROY, MO 63379-1365
(314) 691-5404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2015020087
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA5685
MEDICARE PTAN
MO
Enumeration date
06/29/2015
Last updated
05/10/2016
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