Individual
TIM O BRONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4409 S NOLAND RD, INDEPENDENCE, MO 64055-4742
(816) 373-7727
Mailing address
4409 S NOLAND RD, INDEPENDENCE, MO 64055-4742
(816) 373-7727
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004419
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08273022
BCBS
MO
Enumeration date
10/18/2007
Last updated
10/18/2007
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