Mitchell Clinic LLC

NPI #1356675664 in Saint James, Missouri

Provider Information

NPI Number: 1356675664
Entity Type: Organization
Organization Name: Mitchell Clinic LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 21, 2009
Last Updated: Sep 21, 2009

Practice Location

Address: 120 S JEFFERSON ST
Address 2: SUITE 105
City: Saint James
State: Missouri
ZIP Code: 65559-1365
Phone: (573) 265-0310

Authorized Official

Name: DR. GERRY DEWAYNE MITCHELL, D.C.
Title: OWNER
Phone: (573) 265-0310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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