Organization
POLSON FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER POLSON D.C. (OWNER/PARTNER)
(417) 260-5445
Entity
Organization
Contact information
Practice address
751 W STADIUM BLVD, SUITE B, JEFFERSON CITY, MO 65109-4776
(573) 636-5433
Mailing address
751 W STADIUM BLVD, SUITE B, JEFFERSON CITY, MO 65109-4776
(573) 636-5433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2010005583
MO
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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