Individual
BRYSON COLT WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2821 N BALLAS RD, SUITE 105, SAINT LOUIS, MO 63131-2321
(314) 872-9955
Mailing address
631 BROADMOOR DR APT B, CHESTERFIELD, MO 63017-3149
(731) 439-2773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2016044969
MO
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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