Organization
REVMA CHIROPRACTIC HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JO WILEY D.C. (CHIROPRACTOR)
(816) 237-0102
Entity
Organization
Contact information
Practice address
10001 E 67TH ST, RAYTOWN, MO 64133-5218
(816) 237-0102
Mailing address
10001 E 67TH ST, RAYTOWN, MO 64133-5218
(816) 237-0102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2010007855
MO
Other
Enumeration date
11/26/2010
Last updated
11/26/2010
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