Chiropractic of Wildwood, LLC

NPI #1205138120 in Wildwood, Missouri

Provider Information

NPI Number: 1205138120
Entity Type: Organization
Organization Name: Chiropractic of Wildwood, LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 29, 2010
Last Updated: Nov 29, 2010

Practice Location

Address: 2476 TAYLOR RD
City: Wildwood
State: Missouri
ZIP Code: 63040-1222
Phone: (636) 458-7575

Authorized Official

Name: DR. MARK TAL HOLLAND, D.C.
Title: CHIROPRACTOR
Phone: (314) 495-4928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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