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Individual

DR. BRIAN LAIDERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
219 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1257
(636) 778-9997
(636) 778-9994
Mailing address
219 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1257
(636) 778-9997
(636) 778-9994

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2012014238
MO

Other

Enumeration date
06/11/2012
Last updated
01/22/2013
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