NPI 1043404114

Crider Chiropractic LLC

Organisation Health Maintenance Organization Weldon Spring, MO

Practice location

Address: 1043a Wolfrum Rd, Weldon Spring, MO 63304-7625
Phone: (314) 315-2868

Authorised official

Name: Heather Rene Stalcup
Title: Doctor
Phone: (314) 315-2868

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 2007021516 (MO)

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Registry record

NPI: 1043404114
Entity type: Organization
NPI issued: 31 Aug 2007
Record last updated: 24 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.