Organization
GREENLEE CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LYNN GREENLEE JR. DC (PRESIDENT)
(573) 438-1999
Entity
Organization
Contact information
Practice address
GREENLEE CHIROPRACTIC, 417 EAST HIGH ST, POTOSI, MO 63664
(573) 438-1999
(573) 438-1777
Mailing address
GREENLEE CHIROPRACTIC, 417 EAST HIGH ST, POTOSI, MO 63664
(573) 438-1999
(573) 438-1777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003017111
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
566271
HEALTHLINK
MO
01
—
659502
UNITED HEALTH
MO
Enumeration date
12/28/2006
Last updated
06/27/2008
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