TIMOTHY S. ELLEFSON D.C.,P.C.
Chiropractic at Kennedy St, Moselle, MO

License number
Missouri 005765
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. TIMOTHY SCOTT ELLEFSON D.C.
Title: OWNER
Phone: (636) 583-2675
Address
Address
66 Kennedy St, Moselle, MO 63084
National Provider ID: 1508133455
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TIMOTHY S. ELLEFSON, D.C., PC

66 Kennedy St, Union, MO 63084

Registration:
May 30, 1996
State ID:
P00427102
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Timothy S Ellefson,66 Kennedy St, Union, MO 63084 (Physical)

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