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NPI Code Detail

MEDICARE: GATEWAY CITY CHIROPRACTIC

MEDICARE: GATEWAY CITY CHIROPRACTIC
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
1111N00000XChiropractor2013012182MO

General Provider Information

NPI Number : 1912343625
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATEWAY CITY CHIROPRACTIC
Provider Business Mailing Address
First Line : 2115 BARRETT STATION RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-1606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2115 BARRETT STATION RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-1606
Country : US
Telephone Number : 314-558-6771
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAN GOGLIOTTI
Credential : DC
Telephone Number : 630-853-6550
Provider Enumeration Date : 05/21/2013
Last Update Date : 05/21/2013

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Directions to “GATEWAY CITY CHIROPRACTIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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