| NPI | 1114347705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MARK GOFORTH Chiropractic Physician 573-348-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MO CE0006497) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |