Mark Balderston DC PA

NPI #1205877040 in Shawnee, Kansas

Provider Information

NPI Number: 1205877040
Entity Type: Organization
Organization Name: Mark Balderston DC PA
Primary Specialty: Chiropractor
Enumeration Date: Jun 10, 2006
Last Updated: Dec 21, 2010

Practice Location

Address: 6308 MONROVIA ST
City: Shawnee
State: Kansas
ZIP Code: 66216-1107
Phone: (913) 631-8888

Authorized Official

Name: DR. MARK S BALDERSTON, D.C.
Title: CHIROPRACTOR
Phone: (913) 631-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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