Organization
OZARK CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY JEAN MILES D.C. (PRESIDENT)
(573) 443-2761
Entity
Organization
Contact information
Practice address
1301 TORREY PINES DR, COLUMBIA, MO 65203-4827
(573) 443-2761
Mailing address
1301 TORREY PINES DR, COLUMBIA, MO 65203-4827
(573) 443-2761
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
002607
MO
Other
Enumeration date
01/24/2009
Last updated
01/28/2009
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