Organization
417 PERFORMANCE CHIRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY C BOLIN II DC (DIRECTOR/DOCTOR)
(417) 425-2759
Entity
Organization
Contact information
Practice address
4728 S CAMPBELL AVE STE 132, SPRINGFIELD, MO 65810-1715
(417) 597-3777
Mailing address
4728 S CAMPBELL AVE STE 132, SPRINGFIELD, MO 65810-1715
(417) 597-3777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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