Healthcare Provider Details
I. General information
NPI: 1023325313
Provider Name (Legal Business Name): MYERS FAMILY CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2010
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10019 WATSON RD
SAINT LOUIS MO
63126-1828
US
IV. Provider business mailing address
10019 WATSON RD
SAINT LOUIS MO
63126-1828
US
V. Phone/Fax
- Phone: 314-691-0066
- Fax: 314-462-9110
- Phone: 314-691-0066
- Fax: 314-462-9110
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | 2010005841 |
| License Number State | MO |
VIII. Authorized Official
Name: DR.
CAMERON
ANDREW
MYERS
Title or Position: OWNER
Credential: DC
Phone: 314-691-0066