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Organization

BUSHMAN CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN LYNN BUSHMAN D.C. (CHIROPRACTOR)
(314) 413-7078
Entity
Organization

Contact information

Practice address
14615 MANCHESTER RD, STE. 104, BALLWIN, MO 63011-3790
(636) 391-0424
(636) 391-0437
Mailing address
14851 PHEASANT HILL CT, CHESTERFIELD, MO 63017-5411
(314) 413-7078

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
2003003215
MO

Other

Enumeration date
03/28/2008
Last updated
03/28/2008
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