Organization · NPI-2

Aaron Cunningham Dc LLC

Chiropractor, Pediatric Chiropractor · Columbia, MO

NPI number1154664266
StatusActive
Last updated in NPPESJun 24, 2013

Details

NPI
1154664266
Entity type
Organization (NPI-2)
Legal business name
Aaron Cunningham Dc LLC
Organization subpart
No
Enumeration date
Mar 27, 2013
Last updated
Jun 24, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NP0017X Chiropractor, Pediatric Chiropractor2013006290MOYes

Practice location

2415 Carter Ln Ste 103
Columbia, MO 65201-5898

Phone 573-239-6112

Mailing address

312 W Wightman St
Moberly, MO 65270-3428

Phone 573-239-6112

Authorized official

Aaron Cunningham
Owner
5732396112

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