DR. Thomas Jefferson Pridemore JR., D.C.

NPI #1861575227 in Macomb, Illinois

Provider Information

NPI Number: 1861575227
Entity Type: Individual
Name: DR. Thomas Jefferson Pridemore JR., D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Oct 21, 2006
Last Updated: Oct 15, 2012

Practice Location

Address: 109 S JOHNSON ST
City: Macomb
State: Illinois
ZIP Code: 61455-2134
Phone: (309) 333-9264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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