Advanced Chiropractic Spine and Joint Rehab. PC

NPI #1215117510 in O Fallon, Missouri

Provider Information

NPI Number: 1215117510
Entity Type: Organization
Organization Name: Advanced Chiropractic Spine and Joint Rehab. PC
Primary Specialty: Chiropractor
Enumeration Date: Nov 5, 2007
Last Updated: Nov 5, 2007

Practice Location

Address: 204 W PITMAN ST STE C
City: O Fallon
State: Missouri
ZIP Code: 63366-2869
Phone: (636) 379-6267

Authorized Official

Name: DR. JEFFREY BECKER, DC
Title: OWNER
Phone: (636) 379-6267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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