Organization
ADIO FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WALLACE D.C. (OWNER)
(636) 498-2346
Entity
Organization
Contact information
Practice address
2330 HWY 94 S OUTER RD, SAINT CHARLES, MO 63303-8301
(636) 498-2346
(636) 498-2727
Mailing address
2330 HWY 94 S OUTER RD, SAINT CHARLES, MO 63303-8301
(636) 498-2346
(636) 498-2727
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006811
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386868487
NPI
MO
Enumeration date
01/27/2012
Last updated
01/27/2012
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