MEDICARE: MARY CAROL UNGER-BOYD 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
1	111N00000X	Chiropractor	CEO 006549	MO

General Provider Information

NPI Number	:	1104875111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY CAROL UNGER-BOYD D.C.

Provider Business Mailing Address
First Line	:	8151 STATE ROAD B
Second Line	:
City	:	CEDAR HILL
State	:	MO
Zip	:	63016-3936
Country	:	US
Telephone Number	:	636-274-5437
Fax Number	:	636-274-5439

Provider Business Practice Location Address
First Line	:	8151 STATE ROAD B
Second Line	:
City	:	CEDAR HILL
State	:	MO
Zip	:	63016-3936
Country	:	US
Telephone Number	:	314-496-7371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	01/10/2026

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