Walton Cs Xii PC

NPI #1912199449 in O Fallon, Illinois

Provider Information

NPI Number
1912199449
Entity Type
Organization
Organization Name
Walton Cs Xii PC
Primary Specialty
Chiropractor
Enumeration Date
Aug 17, 2007
Last Updated
Apr 14, 2008

Practice Location

Address
715 LAKEPOINTE CENTRE DR
Address 2
SUITE 127
ZIP Code
62269-3065
Phone
(618) 628-1111

Authorized Official

Name
DR. SHANE L. MAY, D.C.
Title
CHIROPRACTOR
Phone
(618) 628-1111

Specialties & Taxonomy Codes

Specialty
Chiropractor

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