Organization
ANTHONY SIMONE
Active
Other names
Northland IDD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK CARL FERGUSON DC (OWNER)
(816) 415-9999
Entity
Organization
Contact information
Practice address
1201 LANDMARK AVE, LIBERTY, MO 64068-1050
(816) 415-9999
(816) 415-9999
Mailing address
1201 LANDMARK AVE, LIBERTY, MO 64068-1050
(816) 415-9999
(816) 792-1201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5255
MO
Other
Enumeration date
08/26/2009
Last updated
04/06/2010
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