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Organization

JOPLIN DISC AND PAIN SOLUTIONS

Active
Other names
Renuva Back and Pain Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL DAVID RILEY DC (OWNER)
(417) 781-3472
Entity
Organization

Contact information

Practice address
2302 E 32ND ST, JOPLIN, MO 64804-4301
(417) 781-3472
(417) 781-1774
Mailing address
2302 E 32ND ST, JOPLIN, MO 64804-4301
(417) 781-3472
(417) 781-1774

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-4728
KS
111N00000X
Chiropractor
Primary
2010010250
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
$$$$$$$$$
SOCIAL SECURITY NUMBER
KS
01
1700998721
INDIVIDUAL NPI
KS
Enumeration date
04/24/2007
Last updated
05/21/2020
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