Organization
GIBSON CHIROPRACTIC CLINIC JODI PEDERSEN GENERAL PARTNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI L PEDERSEN DC (OWNER/ DOCTOR)
(816) 883-8585
Entity
Organization
Contact information
Practice address
28B WESTWOODS DR, LIBERTY, MO 64068-3519
(816) 883-8585
(816) 883-8588
Mailing address
28B WESTWOODS DR, LIBERTY, MO 64068-3519
(816) 883-8585
(816) 883-8588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012033593
MO
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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