Organization
CROSS CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN CROSS D.C. (CHIROPRACTOR)
(660) 359-4491
Entity
Organization
Contact information
Practice address
1200 E 9TH ST, TRENTON, MO 64683-2626
(660) 359-4491
Mailing address
1200 E. 9TH ST., TRENTON, MO 64683
(660) 359-4491
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011030716
MO
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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