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Individual

DR. TYLER RHEA WICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2003 W BROADWAY, SUITE 100, COLUMBIA, MO 65203-1111
(573) 442-2060
(573) 564-4290
Mailing address
2003 W BROADWAY, SUITE 100, COLUMBIA, MO 65203-1111
(573) 442-2060
(573) 564-4290

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006035965
MO

Other

Enumeration date
03/01/2007
Last updated
07/01/2015
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