Individual
JAMES M O'DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
244 W MILL ST STE 105, LIBERTY, MO 64068-2398
(816) 368-1318
(816) 368-2023
Mailing address
11705 E 76TH TER, RAYTOWN, MO 64138-2520
(913) 424-7866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009035715
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230082280
—
MO
01
—
MA1268004
MEDICARE PTAN
—
Enumeration date
10/08/2009
Last updated
01/31/2023
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