Organization
JOPLIN CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L GALLAHER (BILLING)
(573) 335-1779
Entity
Organization
Contact information
Practice address
307 N FREDERICK ST, CAPE GIRARDEAU, MO 63701-5627
(573) 335-9229
(573) 339-0994
Mailing address
307 N FREDERICK ST, CAPE GIRARDEAU, MO 63701-5627
(573) 335-9229
(573) 339-0994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004984
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167051
HEALTHLINK
MO
01
—
189392
CARPENTERS/GHP
MO
01
—
8778
BLUE CROSS/ANTHEM
MO
Enumeration date
12/01/2008
Last updated
03/03/2009
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