| NPI | 1023311867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ISRAEL BUSHMAN Chiropractic Physician 314-583-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2007035560) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |