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Organization

ACCIDENT INJURY HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID WILLS (PRESIDENT/MANAGING MEMBER)
(314) 703-4439
Entity
Organization

Contact information

Practice address
440 N 4TH ST # 295, SAINT LOUIS, MO 63102-2654
(314) 703-4439
Mailing address
440 N 4TH ST # 295, SAINT LOUIS, MO 63102-2654
(314) 703-4439

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
006568
MO
207Q00000X
Family Medicine Physician
Primary
MD101729
MO

Other

Enumeration date
01/22/2010
Last updated
01/22/2010
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