Individual
DR. JAMES CHANDLER WOMELDUFF IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
33 E MAIN ST, ADRIAN, MO 64720
(816) 297-6878
Mailing address
PO BOX 636, PECULIAR, MO 64078-0636
(816) 297-6878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006648
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25445012
BCBS KANSAS CITY
MO
Enumeration date
11/09/2006
Last updated
06/17/2008
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