Organization
PRICE-BOURISAW FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA NOELLE PRICE-BOURISAW DC (CHIROPRACTIC PHYSICIAN)
(314) 922-0586
Entity
Organization
Contact information
Practice address
2917 STATE HIGHWAY K, O FALLON, MO 63368
(314) 922-0586
Mailing address
8 WARSEN AVE, WENTZVILLE, MO 63385-4811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2014006004
MO
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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