Organization
ESQUIRE SPORTS MEDICINE SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DAVIS DC (OWNER)
(314) 416-1690
Entity
Organization
Contact information
Practice address
11133 LINDBERGH BUS, SAINT LOUIS, MO 63123-7810
(314) 416-1960
Mailing address
11133 LINDBERGH BUS, SAINT LOUIS, MO 63123-7810
(314) 416-1960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005985
MO
Other
Enumeration date
05/28/2006
Last updated
08/11/2008
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