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NPI Code Detail

MEDICARE: DR. PAUL ROBERT SPAHN DC

MEDICARE:  DR. PAUL ROBERT SPAHN  DC
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
1111N00000XChiropractor5164MO

General Provider Information

NPI Number : 1396854360
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL ROBERT SPAHN DC
Provider Business Mailing Address
First Line : 2621 RAYMOND DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4872
Country : US
Telephone Number : 636-946-2244
Fax Number : 636-946-6975
Provider Business Practice Location Address
First Line : 2621 RAYMOND DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4872
Country : US
Telephone Number : 636-946-2244
Fax Number : 636-946-6975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 04/13/2016

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Directions to “ DR. PAUL ROBERT SPAHN DC” Practice Location

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