Organization
CHIROPRACTIC LIFE CENTER POPLAR BLUFF PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN HONOMICHL D.C. (PRESIDENT/OWNER)
(573) 686-1118
Entity
Organization
Contact information
Practice address
408 VINE ST, POPLAR BLUFF, MO 63901-5838
(573) 686-1118
(573) 686-5109
Mailing address
408 VINE ST, POPLAR BLUFF, MO 63901-5838
(573) 686-1118
(573) 686-5109
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005891
MO
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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