Organization

Boonville Chiropractic Llc

Clinic/Center in Boonville, MO(View on Map)

Legal Business Name

Boonville Chiropractic Llc

NPI Number

1154090710

NPI Type

Organization

Enumeration Date

09/08/2021

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

321 MAIN ST
321 MAIN ST

City

Boonville
Boonville

State

MO
MO

Postal Code

65233-1565
65233-1565

Country

US
US

Telephone Number

(660) 882-5775
(660) 882-5775

Authorized Official

Name

Tanner Green

Title or Position

OWNER

Telephone Number

(660) 537-4773

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/08/2021

Provider Address

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Organization

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Organization

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Specialties: Clinic/Center (Primary)Family Medicine Physician