Organization
GATEWAYS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE MCNAMARA D.C. (MEMBER, OWNER)
(314) 705-2886
Entity
Organization
Contact information
Practice address
2241 BLUESTONE DR, SAINT CHARLES, MO 63303-6705
(636) 940-2226
Mailing address
2241 BLUESTONE DR, SAINT CHARLES, MO 63303-6705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2014008390
MO
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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