Organization
ADVANCED SPINAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J FREDRICKS D.C. (OWNER)
(816) 741-3855
Entity
Organization
Contact information
Practice address
5819 NW BARRY ROAD, KANSAS CITY, MO 64154
(816) 741-3855
Mailing address
5819 NW BARRY ROAD, KANSAS CITY, MO 64154
(816) 741-3855
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2005026467
MO
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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