| NPI | 1801092606 |
|---|---|
| Doing Business As | LAKE OF THE OZARKS CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | LODY S MADER Owner 573-346-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO CEOO6535) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO CEOO6520) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2010-07-21 |