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Organization

MATTINGLY CHIROPRACTIC

Active
Other names
Dr Dustan J Mattingly
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN RICHARD FREELAND (PRODUCTION MANAGER)
(314) 352-3345
Entity
Organization

Contact information

Practice address
6411 CHIPPEWA ST, SAINT LOUIS, MO 63109-2104
(314) 352-3345
(314) 352-3460
Mailing address
6411 CHIPPEWA ST, SAINT LOUIS, MO 63109-2104
(314) 352-3345
(314) 352-3460

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003002102
MO

Other

Enumeration date
01/22/2007
Last updated
11/29/2007
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