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Individual

DR. JOSHUA PETERSMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
13944 MANCHESTER RD, BALLWIN, MO 63011-4506
(314) 394-2101
Mailing address
13944 MANCHESTER RD, BALLWIN, MO 63011-4506
(314) 394-2101

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011035813
MO

Other

Enumeration date
05/29/2019
Last updated
05/29/2019
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