Organization
MORNINGSTAR NEUROPATHY & PAIN TREATMENT CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MORNINGSTAR DC (OWNER)
(618) 741-0786
Entity
Organization
Contact information
Practice address
3733 S STATE ROUTE 159, GLEN CARBON, IL 62034-3043
(618) 288-8090
Mailing address
PO BOX 726, GLEN CARBON, IL 62034-0726
(618) 288-8090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
02/03/2021
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