| NPI | 1093903882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE M HUBBS Office Cordinator 573-729-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 005551) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 005352) |
| 111N00000X Chiropractor (Licence: MO 0003016) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-11-05 |