Organization
GUTSHALL CLINIC OF CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER G GUTSHALL D.C. (PRESIDENT)
(816) 632-6611
Entity
Organization
Contact information
Practice address
602 LANA DR, SUITE A, CAMERON, MO 64429-1473
(816) 632-6611
(816) 632-6612
Mailing address
602 LANA DR, SUITE A, CAMERON, MO 64429-1473
(816) 632-6611
(816) 632-6612
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003906
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75346700
—
MO
Enumeration date
09/20/2007
Last updated
10/19/2007
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