Individual
DR. MATTHEW JORDAN TELLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14 RONNIES PLZ, SAINT LOUIS, MO 63126-3552
(314) 243-2549
Mailing address
14 RONNIES PLZ, SAINT LOUIS, MO 63126-3552
(314) 243-2549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2014000408
MO
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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