Individual
DR. JOHN MICHAEL BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8787 BIG BEND, ST LOUIS, MO 63119
(314) 962-1116
Mailing address
8787 BIG BEND, ST LOUIS, MO 63119
(314) 962-1116
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5589
MO
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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