Vital Performance LLC
NPI #1619496957 in Dardenne Prairie, Missouri
Provider Information
- NPI Number
- 1619496957
- Entity Type
- Organization
- Organization Name
- Vital Performance LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 19, 2017
- Last Updated
- Sep 19, 2017
Practice Location
- Address
- 7827 HIGHWAY N STE 102
- City
- Dardenne Prairie
- State
- Missouri
- ZIP Code
- 63368-7199
- Phone
- (636) 486-6933
Authorized Official
- Name
- DR. DUSTIN CHARLES JEROME BOSSON, DC
- Title
- DOCTOR/OWNER
- Phone
- (636) 486-6933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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