Organization
PREMIER CHIROPRACTIC AND ACUPUNCTURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FARIAS (MEMBER)
(314) 485-5252
Entity
Organization
Contact information
Practice address
50 CRESTWOOD EXECUTIVE CTR, STE 202, SAINT LOUIS, MO 63126-1945
(314) 485-5252
Mailing address
50 CRESTWOOD EXECUTIVE CTR, STE 202, SAINT LOUIS, MO 63126-1945
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2008016211
MO
Other
Enumeration date
10/24/2014
Last updated
10/29/2014
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