Sports and Family Chiropractic

NPI #1255639662 in O Fallon, Missouri

Provider Information

NPI Number: 1255639662
Entity Type: Organization
Organization Name: Sports and Family Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Mar 9, 2011
Last Updated: May 9, 2011

Practice Location

Address: 2315 TECHNOLOGY DR
Address 2: SUITE 107
City: O Fallon
State: Missouri
ZIP Code: 63368-7370
Phone: (636) 625-8894

Authorized Official

Name: DR. DAVID DECLUE, D.C.
Title: CO-OWNER
Phone: (636) 625-8894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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