Mestdagh Chiropractic Corp

NPI #1801192554 in Columbia, Illinois

Provider Information

NPI Number: 1801192554
Entity Type: Organization
Organization Name: Mestdagh Chiropractic Corp
Primary Specialty: Chiropractor
Enumeration Date: Jan 28, 2011
Last Updated: Jan 28, 2011

Practice Location

Address: 1550 N MAIN ST
City: Columbia
State: Illinois
ZIP Code: 62236-1070
Phone: (618) 281-6167

Authorized Official

Name: DR. LAURIE ROBERT MESTDAGH, D.C.
Title: PRESIDENT
Phone: (618) 281-6167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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