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Jeffrey Ray Stark, DC
Chiropractor in Florissant, Missouri
NPI 1598863748

Jeffrey Ray Stark is a Chiropractor based in Florissant, MO. Jeffrey Ray Stark practices in Florissant, MO and has the professional credentials of DC. The NPI Number for Jeffrey Ray Stark is 1598863748 and holds a License No. 6731 (Missouri).

The current practice location address for Jeffrey Ray Stark is 11638 W Florissant Ave, Florissant, MO and can be reached out via phone at 314-838-8780 and via fax at 314-838-8161.

Location: 11638 W Florissant Ave, Florissant, MO, 63033-6723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598863748
Provider Name
Jeffrey Ray Stark
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
11638 W Florissant Ave, Florissant, MO, 63033-6723
Phone Number
314-838-8780
Fax Number
314-838-8161
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
399077 01 MO HEALTHLINK
627934 01 MO ACN
20140300 01 MO U.S. DEPT OF LABOR
126371 01 MO BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
11638 W Florissant Ave
City
Florissant
State
Missouri
Zip
63033-6723
Phone Number
314-838-8780
Fax Number
314-838-8161
person
Provider Business Mailing Address Details
Address
11638 W Florissant Ave
City
Florissant
State
Missouri
Zip
63033-6723
Phone Number
314-838-8780
Fax Number
314-838-8161
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
6731 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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