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Organization

FRACK CHIROPRACTIC & WELLNESS CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY DALE FRACK D.C. (PRESIDENT)
(417) 673-5556
Entity
Organization

Contact information

Practice address
1506 S. MADISON STREET, WEBB CITY, MO 64870-2901
(417) 673-5556
Mailing address
1506 S. MADISON STREET, WEBB CITY, MO 64870-2901
(417) 673-5556

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6356
MO

Other

Enumeration date
10/25/2006
Last updated
10/02/2014
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