Organization
MACKENZIE CROSSING CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLIE H SOTTORIVA D.C. (OWNER)
(314) 353-4500
Entity
Organization
Contact information
Practice address
8005 MACKENZIE RD, SAINT LOUIS, MO 63123-3518
(314) 353-4500
(314) 353-4502
Mailing address
8005 MACKENZIE RD, SAINT LOUIS, MO 63123-3518
(314) 353-4500
(314) 353-4502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011007181
MO
Other
Enumeration date
01/19/2012
Last updated
01/25/2012
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