Timothy R Mcmullen DC PC

NPI #1134298979 in Liberty, Missouri

Provider Information

NPI Number: 1134298979
Entity Type: Organization
Organization Name: Timothy R Mcmullen DC PC
Primary Specialty: Chiropractor
Enumeration Date: Nov 7, 2006
Last Updated: Oct 2, 2007

Practice Location

Address: 1508 MISSOURI ROUTE A
Address 2: SUITE A
City: Liberty
State: Missouri
ZIP Code: 64068-7129
Phone: (816) 781-1010

Authorized Official

Name: TIMOTHY RICHARD MCMULLEN, D.C.
Title: CORPORATE PRESIDENT
Phone: (816) 781-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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