Individual
DR. BENJAMIN MICHAEL CLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1750 GRAVOIS RD, HIGH RIDGE, MO 63049-2625
(636) 677-4345
(636) 938-3204
Mailing address
914 MEADOW ACRES LN, SAINT LOUIS, MO 63125-4647
(314) 616-7773
(636) 938-3204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002009580
MO
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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