Organization
SYNERGY CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY J BAMPTON D.C. (OWNER/DOCTOR)
(636) 639-9660
Entity
Organization
Contact information
Practice address
1420 WEST MEYER RD, WENTZVILLE, MO 63385
(636) 639-9660
(636) 639-9135
Mailing address
1420 WEST MEYER ROAD, WENTZVILLE, MO 63385
(636) 639-9660
(636) 639-9135
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002020920
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165169
BLUE CROSS/BLUE SHIELD
MO
01
—
DO9962
MEDICARE RAILROAD GROUP PTAN
MO
Enumeration date
10/16/2007
Last updated
04/14/2011
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