| NPI | 1982035440 |
|---|---|
| Doing Business As | EZELL CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | GLENN R. EZELL Owner/Doctor 636-916-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 2013000467) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MO 2013000467) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2022-09-14 |