Desoto Chiropractic, P.c.

NPI #1053596478 in De Soto, Missouri

Provider Information

NPI Number: 1053596478
Entity Type: Organization
Organization Name: Desoto Chiropractic, P.c.
Primary Specialty: Chiropractor
Enumeration Date: Jan 3, 2008
Last Updated: Jan 3, 2008

Practice Location

Address: 112 N MAIN ST
City: De Soto
State: Missouri
ZIP Code: 63020-1709
Phone: (636) 586-4226

Authorized Official

Name: JEFFREY DANIEL CARPENTER, D.C.
Title: OWNER
Phone: (636) 586-4226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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