| NPI | 1306045901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD B HAVEY President 636-536-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 111N00000X Chiropractor (Licence: MO 005552) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2009-02-27 |