John Deangelis LLC

NPI #1306170501 in Lake Saint Louis, Missouri

Provider Information

NPI Number: 1306170501
Entity Type: Organization
Organization Name: John Deangelis LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 22, 2009
Last Updated: Jan 12, 2010

Practice Location

Address: 1000 LAKE SAINT LOUIS BLVD
Address 2: SUITE 100
City: Lake Saint Louis
State: Missouri
ZIP Code: 63367-1340
Phone: (636) 695-4570

Authorized Official

Name: JOHN NICHOLAS DEANGELIS, D.C.
Title: CHIROPRACTOR
Phone: (330) 219-6557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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