Organization
ELIZABETH HAGAN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HAGAN (CHIROPRACTIC PHYSICIAN)
(573) 424-7288
Entity
Organization
Contact information
Practice address
1109 CLUB VILLAGE DR, SUITE 104, COLUMBIA, MO 65203-4466
(573) 447-0841
Mailing address
1109 CLUB VILLAGE DR, SUITE 104, COLUMBIA, MO 65203-4466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2016002145
MO
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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