| NPI | 1205138120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TAL HOLLAND Chiropractor 314-495-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2002014997) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |