Individual
MR. THEODORE STEVE CADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
HWY 13, KIMBERLING CITY, MO 65686-0603
(417) 739-4686
Mailing address
PO BOX 603, HWY 13, KIMBERLING CITY, MO 65686-0603
(417) 739-4686
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003370
MO
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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