Organization
VITAL PERFORMANCE LLC
Active
Other names
Vital Performance Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN CHARLES JEROME BOSSON DC (DOCTOR/OWNER)
(636) 486-6933
Entity
Organization
Contact information
Practice address
7827 HIGHWAY N STE 102, DARDENNE PRAIRIE, MO 63368-7199
(636) 486-6933
Mailing address
7827 HIGHWAY N, #102, DARDENNE PRAIRIE, MO 63368
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2017015434
MO
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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