Individual
JEREMY D. MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2503 BERNADETTE DR, COLUMBIA, MO 65203
(573) 443-6828
(573) 397-6061
Mailing address
2503 BERNADETTE DR, COLUMBIA, MO 65203-4674
(573) 443-6828
(573) 397-6061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-04975
KS
111N00000X
Chiropractor
Primary
2000172546
MO
Other
Enumeration date
05/18/2006
Last updated
12/18/2018
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