Organization
DELCREST CHIROPRACTIC PC
Active
Other names
St. Louis Natural Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L ROZEBOOM DC CC (PRESIDENT)
(314) 997-2308
Entity
Organization
Contact information
Practice address
924 N MCKNIGHT RD, SAINT LOUIS, MO 63132-4804
(314) 997-2308
Mailing address
924 N MCKNIGHT RD, SAINT LOUIS, MO 63132-4804
(314) 997-2308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE003737
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000030497
PTAN
—
Enumeration date
07/31/2006
Last updated
09/01/2015
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