Organization
BRENTWOOD SPINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON JOSEPH DANIELS D.C. (CHIROPRACTIC PHYSICIAN)
(314) 600-6677
Entity
Organization
Contact information
Practice address
2202 S BRENTWOOD BLVD, BRENTWOOD, MO 63144-1804
(314) 600-6677
Mailing address
2202 S BRENTWOOD BLVD, BRENTWOOD, MO 63144-1804
(314) 600-6677
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2010031861
MO
Other
Enumeration date
11/24/2012
Last updated
01/24/2013
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