Organization
GRACE FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK LOUIS FOSTER D.C. (OWNER)
(314) 805-0095
Entity
Organization
Contact information
Practice address
3533 DUNN RD STE 230, FLORISSANT, MO 63033-6761
(314) 831-8877
(314) 831-8874
Mailing address
3533 DUNN RD STE 230, FLORISSANT, MO 63033-6761
(314) 831-8877
(314) 831-8874
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011012152
MO
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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