Individual
DR. ERIC WAYNE REAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1342 E PRIMROSE ST, SUITE A, SPRINGFIELD, MO 65804-4279
(417) 877-1300
Mailing address
1342 E PRIMROSE ST, SUITE A, SPRINGFIELD, MO 65804-4279
(417) 877-1300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007008411
MO
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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