Individual
WYATT PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3711 MEXICO RD, SAINT CHARLES, MO 63303-3040
(636) 410-5858
Mailing address
3711 MEXICO RD, SAINT CHARLES, MO 63303-3040
(636) 410-5858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023050792
MO
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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