Organization
ERIV A NEPUTE DC LLC
Active
Other names
Nepute Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON P WALTON DC (DIRECTOR)
(217) 854-3300
Entity
Organization
Contact information
Practice address
4225 BAYLESS AVE, SAINT LOUIS, MO 63123-7513
(314) 544-5600
(314) 544-5696
Mailing address
110 E 1ST NORTH ST, CARLINVILLE, IL 62626-1505
(217) 854-3300
(217) 854-4546
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007000308
MO
Other
Enumeration date
05/08/2007
Last updated
09/05/2008
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