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Individual

DR. SAM ELASHKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC, PHD

Contact information

Practice address
6301 ROCKHILL RD.,, EMMANUEL CHIROPRACTIC CLINIC, SUITE 105, KC, MO 64131
(913) 954-9380
(816) 523-4623
Mailing address
4714 BOOTH ST, WESTWOOD, KS 66205-1825
(913) 954-9380
(816) 523-4623

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2002016565
MO
111NS0005X
Sports Physician Chiropractor
2002016565
MO

Other

Enumeration date
09/10/2013
Last updated
08/04/2014
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