NPI | 1184928806 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN HILDEBRAND Owner/Doctor 816-584-0413 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011000585) |
Enumeration Date | 2011-01-10 |
Last Update Date | 2015-01-21 |