O'fallon Physician Services, LLC

NPI #1568662047 in O Fallon, Missouri

Provider Information

NPI Number: 1568662047
Entity Type: Organization
Organization Name: O'fallon Physician Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CZVS HOLDING LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 23, 2007
Last Updated: Feb 29, 2008

Practice Location

Address: 1601 BRYAN RD
City: O Fallon
State: Missouri
ZIP Code: 63368-4815
Phone: (618) 979-8660

Authorized Official

Name: DR. SEAN M TONER, D.C.
Title: MANAGER
Phone: (618) 979-8660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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