Organization
DR. ROB FAST LLC
Active
Other names
Back Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J FAST DC (OWNER)
(314) 704-4150
Entity
Organization
Contact information
Practice address
5206 W MAIN ST, BELLEVILLE, IL 62226-4731
(618) 234-5200
(618) 234-4400
Mailing address
5206 W MAIN ST, BELLEVILLE, IL 62226-4731
(618) 234-5200
(618) 234-4400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009109
IL
Other
Enumeration date
07/11/2014
Last updated
07/24/2014
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