Organization
CHIROSERV PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS EDWARD HAGENE D.C. (OWNER)
(573) 885-3353
Entity
Organization
Contact information
Practice address
114 S BUCHANAN ST., CUBA, MO 65453-1241
(573) 885-3353
(573) 885-3539
Mailing address
114 S BUCHANAN ST, CUBA, MO 65453-1241
(573) 885-3353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006048
MO
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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