Organization
MISSOURI HEALTHCENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDEN RACE (CLINIC DIRECTOR)
(330) 309-9550
Entity
Organization
Contact information
Practice address
11104 VETERANS MEMORIAL PKWY, LAKE ST LOUIS, MO 63367-1113
(636) 625-6000
Mailing address
223 SALT LICK RD # 280, SAINT PETERS, MO 63376-5974
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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