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NPI Code Detail

MEDICARE: ELIZABETH PEREZ D.C.

MEDICARE: ELIZABETH PEREZ D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2008011985MO

General Provider Information

NPI Number : 1134386501
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH PEREZ D.C.
Provider Business Mailing Address
First Line : 2261 BLUESTONE DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-6705
Country : US
Telephone Number : 636-724-9444
Fax Number : 636-724-9440
Provider Business Practice Location Address
First Line : 2261 BLUESTONE DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-6705
Country : US
Telephone Number : 314-422-4853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2008
Last Update Date : 03/08/2012

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Directions to “ ELIZABETH PEREZ D.C.” Practice Location

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