Most Relevant Information
Provider Data
| NPI Number: | 1003465824 |
| Provider Name: | MILTON THEODORE MORTER DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111NR0400X |
| Specialty: | Chiropractor |
| License Number: | 038.013346 |
Most Important Dates
| Enumeration Date: | 09/04/2019 |
| Last Updated: | 09/04/2019 |
Provider Practice Location
2250 REED STATION PKWY STE 204
CARBONDALE
IL
629018104
Practice Location Phone/Fax
| Phone: | 6185199445 |
| Fax: |
Provider Mailing Location
215 W POPLAR ST
ROGERS
AR
727564556
Provider Mailing Phone/Fax
| Phone: | 4796312749 |
| Fax: |