ETHAN MICHAEL CROSS

Dr ETHAN MICHAEL CROSS is a male medical professional, specializing in Chiropractic. He graduated in 2011 from Cleveland Chiropractic College - Kansas City.

Contact

1200 E 9TH ST
TRENTON
MO
646832626

Tel:

ETHAN MICHAEL CROSS Information

Npi 1053693309
Pac Id 4284809047
Professional Enrollment Id I20111207000400
Last Name CROSS
First Name ETHAN
Middle Name MICHAEL
Suffix
Gender M
Credential
Medical School Name CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Graduation Year 2011
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
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Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1200 E 9TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TRENTON
State MO
Zip Code 646832626
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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