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Organization

EXTRA CARE CHIROPRACTIC P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT M GAMM (PRESIDENT/OWNER)
(417) 724-9994
Entity
Organization

Contact information

Practice address
106 W SHERMAN WAY, STE. 1, NIXA, MO 65714-7620
(417) 724-9994
(417) 724-9965
Mailing address
106 W SHERMAN WAY, STE. 1, NIXA, MO 65714-7620
(417) 724-9994
(417) 724-9965

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002022729
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168923
BCBS PROV ID
Enumeration date
05/07/2008
Last updated
05/07/2008
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