Organization
JASON WIBBENMEYER CHIROPRACTIC, LLC
Active
Other names
Innovative Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
KIM STARK (OFFICE MANAGER)
(314) 520-5566
Entity
Organization
Contact information
Practice address
49 N GORE AVE, WEBSTER GROVES, MO 63119-2357
(314) 219-1888
Mailing address
49 N GORE AVE, WEBSTER GROVES, MO 63119-2357
(314) 219-1888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011000732
MO
Other
Enumeration date
06/03/2014
Last updated
06/12/2014
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