DR. Mark Charles Childress, D.C.

NPI #1083726632 in Overland Park, Kansas

Provider Information

NPI Number: 1083726632
Entity Type: Individual
Name: DR. Mark Charles Childress, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11960 W 119TH ST
City: Overland Park
State: Kansas
ZIP Code: 66213-2216
Phone: (913) 744-2973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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