Matthew R Nicholson, DC

NPI #1720319817 in O Fallon, Missouri

Provider Information

NPI Number: 1720319817
Entity Type: Individual
Name: Matthew R Nicholson, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jan 29, 2010
Last Updated: Jan 27, 2016

Practice Location

Address: 2534 HIGHWAY K
City: O Fallon
State: Missouri
ZIP Code: 63368-6625
Phone: (636) 978-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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